Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $5,649.00 / $15,341.00	Facility		$139.91	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $142.76 / $160.72	Professional		$101.00	$142.76	$160.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.90 / $129.28 / $178.24	Facility		$82.90	$129.28	$178.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.38 / $122.61 / $127.74	Facility		$89.38	$122.61	$127.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.90 / $155.21 / $3,274.00	Facility		$82.90	$155.21	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,273.56 / $9,753.18 / $13,050.49	Facility		$5,273.56	$9,753.18	$13,050.49
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