Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $13,182.57	Facility		$1,380.38	$1,819.70	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,348.96 / $1,584.89	Professional		$691.83	$1,348.96	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,071.52 / $2,454.71	Facility		$676.08	$1,071.52	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,412.54	Facility		$954.99	$1,318.26	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,621.81	Facility		$691.83	$1,023.29	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,912.51 / $10,715.19	Facility		$5,370.32	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50