Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.16 / $2,747.00 / $7,920.26	Facility		$285.16	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.84 / $303.62 / $345.64	Professional		$216.84	$303.62	$345.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.09 / $293.33 / $423.92	Facility		$188.09	$293.33	$423.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $211.73 / $264.16 / $294.80	Facility		$211.73	$264.16	$294.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.09 / $313.45 / $404.39	Facility		$188.09	$313.45	$404.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $782.58 / $782.58 / $782.58	Facility		$782.58	$782.58	$782.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00