Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.57 / $353.70 / $7,920.26	Facility		$167.57	$353.70	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.48 / $243.11 / $357.84	Professional		$179.48	$243.11	$357.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.24 / $234.06 / $387.18	Facility		$136.24	$234.06	$387.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $179.20 / $287.68 / $313.75	Facility		$179.20	$287.68	$313.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.12 / $292.92 / $1,738.00	Facility		$140.12	$292.92	$1,738.00
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