Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.57 / $5,116.62 / $13,320.00	Facility		$805.57	$5,116.62	$13,320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $721.05 / $1,048.79 / $1,457.39	Professional		$721.05	$1,048.79	$1,457.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $571.94 / $880.38 / $1,336.50	Facility		$571.94	$880.38	$1,336.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $699.38 / $1,100.51 / $1,800.51	Facility		$699.38	$1,100.51	$1,800.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $571.94 / $936.16 / $5,370.75	Facility		$571.94	$936.16	$5,370.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00