Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $3,548.13 / $6,606.93	Facility		$186.21	$3,548.13	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $234.42	Professional		$85.11	$194.98	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $245.47 / $4,786.30	Facility		$125.89	$245.47	$4,786.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $181.97 / $478.63	Facility		$154.88	$181.97	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $181.97 / $602.56	Facility		$107.15	$181.97	$602.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,011.87 / $6,760.83	Facility		$3,311.31	$5,011.87	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,413.10	Facility		$1,096.48	$3,715.35	$7,413.10