Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.02 / $4,704.00 / $8,728.00	Facility		$207.02	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $209.36 / $235.71	Professional		$148.49	$209.36	$235.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.44 / $194.65 / $265.39	Facility		$123.44	$194.65	$265.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.18 / $180.89 / $195.16	Facility		$135.18	$180.89	$195.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.44 / $232.40 / $2,724.00	Facility		$123.44	$232.40	$2,724.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,786.49	Facility		$1,719.37	$2,217.60	$2,786.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00