Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.43 / $4,684.68 / $8,728.00	Facility		$128.43	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.72 / $161.19 / $782.42	Professional		$109.72	$161.19	$782.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.76 / $296.99 / $730.19	Facility		$79.76	$296.99	$730.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.63 / $422.28 / $664.64	Facility		$128.63	$422.28	$664.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.76 / $504.98 / $2,748.00	Facility		$79.76	$504.98	$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 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00