Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.57 / $2,747.00 / $7,920.26	Facility		$154.57	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $168.06 / $191.31	Professional		$119.69	$168.06	$191.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.06 / $158.69 / $228.62	Facility		$102.06	$158.69	$228.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $145.80 / $159.12	Facility		$114.34	$145.80	$159.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.06 / $170.08 / $219.43	Facility		$102.06	$170.08	$219.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $420.58 / $420.58 / $420.58	Facility		$420.58	$420.58	$420.58
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