Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $4,786.30 / $7,943.28	Facility		$117.49	$4,786.30	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $151.36	Professional		$57.54	$123.03	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $117.49 / $4,677.35	Facility		$77.62	$117.49	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $114.82 / $117.49	Facility		$89.13	$114.82	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $107.15 / $144.54	Facility		$72.44	$107.15	$144.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,584.89	Facility		$870.96	$1,258.93	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,187.76 / $6,165.95	Facility		$389.05	$2,187.76	$6,165.95