Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.25 / $4,684.68 / $8,728.00	Facility		$132.25	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $151.83 / $264.77	Professional		$110.86	$151.83	$264.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $172.53 / $315.35	Facility		$80.48	$172.53	$315.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.25 / $213.48 / $250.92	Facility		$117.25	$213.48	$250.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $172.53 / $315.35	Facility		$80.48	$172.53	$315.35
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