Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.05 / $5,116.62 / $15,372.18	Facility		$1,043.05	$5,116.62	$15,372.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $928.05 / $1,349.88 / $1,789.23	Professional		$928.05	$1,349.88	$1,789.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $723.44 / $1,101.80 / $1,655.85	Facility		$723.44	$1,101.80	$1,655.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $938.39 / $1,333.80 / $1,800.51	Facility		$938.39	$1,333.80	$1,800.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $723.44 / $1,168.72 / $5,370.75	Facility		$723.44	$1,168.72	$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