Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.29 / $2,747.00 / $7,920.26	Facility		$353.29	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $278.70 / $394.62 / $444.30	Professional		$278.70	$394.62	$444.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.06 / $355.66 / $490.33	Facility		$228.06	$355.66	$490.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $252.42 / $333.66 / $357.11	Facility		$252.42	$333.66	$357.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.06 / $387.57 / $490.33	Facility		$228.06	$387.57	$490.33
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $68.34 / $68.34 / $68.34	Facility	80	$68.34	$68.34	$68.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $917.44 / $917.44 / $917.44	Facility		$917.44	$917.44	$917.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00