Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $346.74 / $7,943.28	Facility		$186.21	$346.74	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $288.40 / $354.81	Professional		$128.82	$288.40	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $269.15 / $407.38	Facility		$186.21	$269.15	$407.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $269.15 / $288.40	Facility		$234.42	$269.15	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $239.88 / $354.81	Facility		$162.18	$239.88	$354.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52