Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,698.24 / $7,943.28	Facility		$954.99	$1,698.24	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,258.93 / $1,445.44	Professional		$616.60	$1,258.93	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,023.29 / $2,041.74	Facility		$691.83	$1,023.29	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,380.38	Facility		$1,023.29	$1,318.26	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $1,698.24	Facility		$691.83	$977.24	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52