Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.04 / $2,747.00 / $7,920.26	Facility		$391.04	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.29 / $397.96 / $453.02	Professional		$282.29	$397.96	$453.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $329.42 / $499.56 / $708.25	Facility		$329.42	$499.56	$708.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $298.72 / $364.48 / $505.18	Facility		$298.72	$364.48	$505.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.42 / $471.07 / $708.25	Facility		$329.42	$471.07	$708.25
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $70.28 / $70.28 / $70.28	Facility	80	$70.28	$70.28	$70.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $59.74 / $59.74 / $59.74	Facility	AS	$59.74	$59.74	$59.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,322.02 / $1,322.02 / $1,322.02	Facility		$1,322.02	$1,322.02	$1,322.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $10,234.00 / $36,803.00	Facility		$2,446.00	$10,234.00	$36,803.00