Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.49 / $2,747.00 / $7,920.26	Facility		$370.49	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.24 / $415.35 / $467.64	Professional		$293.24	$415.35	$467.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.17 / $372.99 / $514.22	Facility		$239.17	$372.99	$514.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $267.44 / $357.23 / $377.21	Facility		$267.44	$357.23	$377.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.17 / $409.86 / $514.22	Facility		$239.17	$409.86	$514.22
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $72.20 / $72.20 / $72.20	Facility	80	$72.20	$72.20	$72.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $981.33 / $981.33 / $981.33	Facility		$981.33	$981.33	$981.33
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