Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.07 / $4,684.68 / $8,728.00	Facility		$217.07	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.05 / $256.07 / $343.38	Professional		$189.05	$256.07	$343.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $229.89 / $346.75	Facility		$137.94	$229.89	$346.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $161.31 / $252.18 / $288.77	Facility		$161.31	$252.18	$288.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $275.16 / $1,738.00	Facility		$137.94	$275.16	$1,738.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
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