Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $354.81 / $7,943.28	Facility		$194.98	$354.81	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $302.00 / $363.08	Professional		$131.83	$302.00	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $416.87	Facility		$194.98	$275.42	$416.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $275.42 / $302.00	Facility		$245.47	$275.42	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $245.47 / $380.19	Facility		$165.96	$245.47	$380.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
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