Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.01 / $4,962.67 / $15,341.00	Facility		$394.01	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.10 / $501.11 / $977.69	Professional		$341.10	$501.11	$977.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.86 / $504.95 / $936.71	Facility		$234.86	$504.95	$936.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $353.09 / $679.38 / $842.86	Facility		$353.09	$679.38	$842.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.76 / $744.96 / $2,327.00	Facility		$241.76	$744.96	$2,327.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
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