Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.80 / $1,758.00 / $11,915.00	Facility		$307.80	$1,758.00	$11,915.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.99 / $475.43 / $644.47	Professional		$350.99	$475.43	$644.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.61 / $397.71 / $565.54	Facility		$197.61	$397.71	$565.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $276.11 / $420.92 / $554.76	Facility		$276.11	$420.92	$554.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.63 / $424.86 / $2,662.00	Facility		$244.63	$424.86	$2,662.00
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 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00