Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.64 / $4,962.67 / $15,341.00	Facility		$363.64	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.25 / $404.77 / $457.25	Professional		$281.25	$404.77	$457.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.45 / $336.39 / $440.59	Facility		$204.45	$336.39	$440.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $220.93 / $305.52 / $356.44	Facility		$220.93	$305.52	$356.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.45 / $384.75 / $3,274.00	Facility		$204.45	$384.75	$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