Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.49 / $5,116.62 / $13,320.00	Facility		$1,466.49	$5,116.62	$13,320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,188.98 / $1,699.33 / $2,091.48	Professional		$1,188.98	$1,699.33	$2,091.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $893.29 / $1,258.64 / $2,112.35	Facility		$893.29	$1,258.64	$2,112.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,061.78 / $1,644.05 / $1,802.97	Facility		$1,061.78	$1,644.05	$1,802.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $917.64 / $1,392.72 / $5,217.00	Facility		$917.64	$1,392.72	$5,217.00
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 $1,689.00 / $5,517.00 / $10,749.25	Facility		$1,689.00	$5,517.00	$10,749.25