Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.11 / $2,747.00 / $7,920.26	Facility		$471.11	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $547.13 / $616.02	Professional		$384.85	$547.13	$616.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $314.08 / $455.08 / $675.27	Facility		$314.08	$455.08	$675.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $313.60 / $443.54 / $498.48	Facility		$313.60	$443.54	$498.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.08 / $532.10 / $675.27	Facility		$314.08	$532.10	$675.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,135.71 / $1,135.71 / $1,135.71	Facility		$1,135.71	$1,135.71	$1,135.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00