Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.32 / $4,684.68 / $7,920.26	Facility		$203.32	$4,684.68	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.37 / $209.45 / $238.43	Professional		$148.37	$209.45	$238.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.48 / $219.51 / $609.22	Facility		$124.48	$219.51	$609.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $185.65 / $475.70	Facility		$153.44	$185.65	$475.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.48 / $246.21 / $3,023.00	Facility		$124.48	$246.21	$3,023.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,312.81 / $4,817.66 / $6,738.85	Facility		$3,312.81	$4,817.66	$6,738.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00