Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.67 / $278.50 / $1,680.90	Facility		$257.67	$278.50	$1,680.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.21 / $265.45 / $300.54	Professional		$119.21	$265.45	$300.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.88 / $256.39 / $394.53	Facility		$173.88	$256.39	$394.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.85 / $225.12 / $250.58	Facility		$151.85	$225.12	$250.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.50 / $262.41 / $394.53	Facility		$183.50	$262.41	$394.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.51 / $4,646.71 / $5,743.77	Facility		$3,709.51	$4,646.71	$5,743.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00