Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.15 / $7,920.26 / $20,400.00	Facility		$1,604.15	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,166.47 / $1,682.19 / $2,115.54	Professional		$1,166.47	$1,682.19	$2,115.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $876.65 / $1,291.24 / $2,180.75	Facility		$876.65	$1,291.24	$2,180.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,111.35 / $1,668.41 / $1,827.76	Facility		$1,111.35	$1,668.41	$1,827.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $926.44 / $1,425.98 / $5,370.75	Facility		$926.44	$1,425.98	$5,370.75
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