Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $6,629.40 / $13,147.99	Facility		$988.00	$6,629.40	$13,147.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.25 / $193.58 / $220.37	Professional		$138.25	$193.58	$220.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.62 / $208.09 / $319.14	Facility		$111.62	$208.09	$319.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.35 / $172.19 / $249.24	Facility		$141.35	$172.19	$249.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.62 / $221.39 / $319.14	Facility		$111.62	$221.39	$319.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,312.81 / $4,817.66 / $6,738.85	Facility		$3,312.81	$4,817.66	$6,738.85
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