Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.70 / $4,704.00 / $9,965.65	Facility		$243.70	$4,704.00	$9,965.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.94 / $336.62 / $379.00	Professional		$235.94	$336.62	$379.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.13 / $289.11 / $426.70	Facility		$157.13	$289.11	$426.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $214.63 / $287.42 / $305.52	Facility		$214.63	$287.42	$305.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.13 / $358.94 / $2,724.00	Facility		$157.13	$358.94	$2,724.00
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