Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $13,182.57	Facility		$1,230.27	$1,621.81	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,258.93 / $1,479.11	Professional		$645.65	$1,258.93	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $977.24 / $1,862.09	Facility		$602.56	$977.24	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,288.25	Facility		$851.14	$1,202.26	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $1,445.44	Facility		$630.96	$912.01	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $12,589.25	Facility		$1,698.24	$5,754.40	$12,589.25