Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.71 / $4,283.46 / $8,728.00	Facility		$142.71	$4,283.46	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.03 / $176.35 / $450.46	Professional		$120.03	$176.35	$450.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.39 / $187.89 / $537.20	Facility		$87.39	$187.89	$537.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.31 / $358.25 / $418.75	Facility		$129.31	$358.25	$418.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.39 / $383.91 / $2,748.00	Facility		$87.39	$383.91	$2,748.00
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 / $2,983.00 / $4,911.00	Facility		$1,106.00	$2,983.00	$4,911.00