Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.82 / $2,747.00 / $7,920.26	Facility		$535.82	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.32 / $614.66 / $692.06	Professional		$431.32	$614.66	$692.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $357.77 / $571.20 / $783.98	Facility		$357.77	$571.20	$783.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.46 / $525.44 / $568.83	Facility		$407.46	$525.44	$568.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $357.77 / $668.90 / $783.98	Facility		$357.77	$668.90	$783.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $90.97 / $90.97 / $90.97	Facility	AS	$90.97	$90.97	$90.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,495.93 / $1,495.93 / $1,495.93	Facility		$1,495.93	$1,495.93	$1,495.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00