Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.35 / $4,684.68 / $8,728.00	Facility		$63.35	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.24 / $194.30 / $320.89	Professional		$132.24	$194.30	$320.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.30 / $161.41 / $308.76	Facility		$75.30	$161.41	$308.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.37 / $243.16 / $263.31	Facility		$141.37	$243.16	$263.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.54 / $172.82 / $333.80	Facility		$82.54	$172.82	$333.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,839.75 / $3,421.41	Facility		$2,215.19	$2,839.75	$3,421.41