Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.66 / $7,920.26 / $20,400.00	Facility		$1,501.66	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,080.00 / $1,335.28 / $1,602.33	Professional		$1,080.00	$1,335.28	$1,602.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $806.06 / $1,027.63 / $1,968.75	Facility		$806.06	$1,027.63	$1,968.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $967.07 / $1,315.63 / $1,552.36	Facility		$967.07	$1,315.63	$1,552.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $869.53 / $1,466.67 / $6,437.00	Facility		$869.53	$1,466.67	$6,437.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00