Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.61 / $4,704.00 / $8,728.00	Facility		$231.61	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.33 / $254.55 / $286.60	Professional		$177.33	$254.55	$286.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $231.84 / $354.50	Facility		$140.32	$231.84	$354.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.32 / $205.36 / $226.49	Facility		$146.32	$205.36	$226.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $252.95 / $1,738.00	Facility		$140.32	$252.95	$1,738.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,689.91 / $2,086.37 / $2,613.15	Facility		$1,689.91	$2,086.37	$2,613.15
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