Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.76 / $2,747.00 / $7,920.26	Facility		$1,126.76	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $886.49 / $1,096.02 / $1,298.19	Professional		$886.49	$1,096.02	$1,298.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $653.05 / $835.17 / $1,581.85	Facility		$653.05	$835.17	$1,581.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.02 / $1,079.90 / $1,139.08	Facility		$812.02	$1,079.90	$1,139.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $653.05 / $999.31 / $1,581.85	Facility		$653.05	$999.31	$1,581.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,974.12 / $2,974.12 / $2,974.12	Facility		$2,974.12	$2,974.12	$2,974.12
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