Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $295.12 / $13,182.57	Facility		$239.88	$295.12	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $239.88 / $295.12	Professional		$104.71	$239.88	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $229.09 / $9,332.54	Facility		$154.88	$229.09	$9,332.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $229.09 / $239.88	Facility		$194.98	$229.09	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $162.18 / $302.00	Facility		$131.83	$162.18	$302.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,120.11 / $12,302.69	Facility		$4,570.88	$9,120.11	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $13,803.84	Facility		$1,096.48	$3,715.35	$13,803.84