Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.35 / $212.35 / $235.67	Facility		$212.35	$212.35	$235.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $217.93 / $248.09	Professional		$153.44	$217.93	$248.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.23 / $193.11 / $267.08	Facility		$124.23	$193.11	$267.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.32 / $178.09 / $196.31	Facility		$134.32	$178.09	$196.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.23 / $194.29 / $251.42	Facility		$124.23	$194.29	$251.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $519.95 / $519.95 / $519.95	Facility		$519.95	$519.95	$519.95
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