Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.06 / $2,747.00 / $7,920.26	Facility		$1,520.06	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,195.58 / $1,478.17 / $1,752.04	Professional		$1,195.58	$1,478.17	$1,752.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $881.38 / $1,126.45 / $2,140.91	Facility		$881.38	$1,126.45	$2,140.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,092.85 / $1,456.43 / $1,553.12	Facility		$1,092.85	$1,456.43	$1,553.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $881.38 / $1,347.74 / $2,140.91	Facility		$881.38	$1,347.74	$2,140.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,026.42 / $4,026.42 / $4,026.42	Facility		$4,026.42	$4,026.42	$4,026.42
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