Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.89 / $4,684.68 / $8,728.00	Facility		$210.89	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.12 / $219.39 / $247.01	Professional		$154.12	$219.39	$247.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.22 / $195.28 / $269.22	Facility		$125.22	$195.28	$269.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.13 / $184.92 / $195.84	Facility		$136.13	$184.92	$195.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.22 / $234.06 / $2,724.00	Facility		$125.22	$234.06	$2,724.00
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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00