Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.01 / $4,684.68 / $8,728.00	Facility		$226.01	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.41 / $237.74 / $267.67	Professional		$165.41	$237.74	$267.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.78 / $229.77 / $373.31	Facility		$135.78	$229.77	$373.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.44 / $201.50 / $226.20	Facility		$142.44	$201.50	$226.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.78 / $253.29 / $1,738.00	Facility		$135.78	$253.29	$1,738.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,900.22 / $3,412.14	Facility		$2,265.38	$2,900.22	$3,412.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00