Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.15 / $2,747.00 / $7,920.26	Facility		$1,381.15	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,090.67 / $1,348.46 / $1,598.11	Professional		$1,090.67	$1,348.46	$1,598.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $803.94 / $1,023.85 / $1,927.10	Facility		$803.94	$1,023.85	$1,927.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $988.86 / $1,327.69 / $1,400.12	Facility		$988.86	$1,327.69	$1,400.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $803.94 / $1,229.46 / $1,927.10	Facility		$803.94	$1,229.46	$1,927.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,609.40 / $3,609.40 / $3,609.40	Facility		$3,609.40	$3,609.40	$3,609.40
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