Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.21 / $7,920.26 / $20,400.00	Facility		$1,542.21	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,124.47 / $1,390.25 / $1,676.85	Professional		$1,124.47	$1,390.25	$1,676.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $825.15 / $1,048.42 / $1,871.56	Facility		$825.15	$1,048.42	$1,871.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $902.98 / $1,305.83 / $1,423.75	Facility		$902.98	$1,305.83	$1,423.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $843.55 / $1,388.19 / $6,437.00	Facility		$843.55	$1,388.19	$6,437.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,328.38 / $8,364.56 / $10,637.18	Facility		$5,328.38	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00