Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.89 / $5,649.00 / $15,341.00	Facility		$217.89	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.62 / $221.72 / $264.06	Professional		$177.62	$221.72	$264.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.57 / $174.32 / $250.84	Facility		$109.57	$174.32	$250.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.78 / $182.24 / $209.71	Facility		$131.78	$182.24	$209.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.26 / $190.96 / $268.58	Facility		$115.26	$190.96	$268.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.51 / $4,868.22 / $5,743.77	Facility		$3,709.51	$4,868.22	$5,743.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,233.00	Facility		$1,689.00	$5,130.00	$7,233.00