Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.55 / $7,920.26 / $20,400.00	Facility		$1,409.55	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,015.54 / $1,255.58 / $1,521.06	Professional		$1,015.54	$1,255.58	$1,521.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $735.68 / $942.30 / $1,697.55	Facility		$735.68	$942.30	$1,697.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $781.44 / $1,164.48 / $1,276.34	Facility		$781.44	$1,164.48	$1,276.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.63 / $1,174.57 / $5,217.00	Facility		$741.63	$1,174.57	$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 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00