Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.12 / $7,920.26 / $20,400.00	Facility		$954.12	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $842.79 / $1,095.13 / $1,408.02	Professional		$842.79	$1,095.13	$1,408.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $596.46 / $961.47 / $1,375.66	Facility		$596.46	$961.47	$1,375.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $699.75 / $999.64 / $1,166.47	Facility		$699.75	$999.64	$1,166.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $596.46 / $1,122.75 / $3,397.00	Facility		$596.46	$1,122.75	$3,397.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,539.09 / $11,131.60 / $14,269.30	Facility		$8,539.09	$11,131.60	$14,269.30
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