Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.27 / $2,747.00 / $7,920.26	Facility		$284.27	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.64 / $309.39 / $352.20	Professional		$220.64	$309.39	$352.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.36 / $292.19 / $422.07	Facility		$187.36	$292.19	$422.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $209.79 / $268.77 / $293.08	Facility		$209.79	$268.77	$293.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.36 / $312.24 / $402.82	Facility		$187.36	$312.24	$402.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $775.45 / $775.45 / $775.45	Facility		$775.45	$775.45	$775.45
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