Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.47 / $5,318.00 / $15,341.00	Facility		$150.47	$5,318.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.06 / $242.03 / $272.50	Professional		$169.06	$242.03	$272.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.34 / $206.23 / $263.02	Facility		$122.34	$206.23	$263.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $202.40 / $213.73	Facility		$149.22	$202.40	$213.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.34 / $256.47 / $3,274.00	Facility		$122.34	$256.47	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,786.00	Facility		$1,981.00	$9,529.00	$12,786.00