Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.06 / $2,747.00 / $7,920.26	Facility		$417.06	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.95 / $459.69 / $517.55	Professional		$325.95	$459.69	$517.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $291.26 / $485.38 / $626.21	Facility		$291.26	$485.38	$626.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.81 / $397.07 / $432.63	Facility		$302.81	$397.07	$432.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.26 / $507.13 / $598.86	Facility		$291.26	$507.13	$598.86
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $80.94 / $80.94 / $80.94	Facility	80	$80.94	$80.94	$80.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $68.80 / $68.80 / $68.80	Facility	AS	$68.80	$68.80	$68.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,112.61 / $1,112.61 / $1,112.61	Facility		$1,112.61	$1,112.61	$1,112.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00