Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $158.49 / $7,943.28	Facility		$128.82	$158.49	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $154.88	Professional		$89.13	$117.49	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $109.65 / $218.78	Facility		$75.86	$109.65	$218.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $123.03 / $125.89	Facility		$95.50	$123.03	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $100.00 / $154.88	Facility		$66.07	$100.00	$154.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $9,772.37 / $13,182.57	Facility		$5,248.07	$9,772.37	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $15,135.61	Facility		$1,698.24	$5,754.40	$15,135.61