Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.25 / $3,048.00 / $7,920.26	Facility		$1,105.25	$3,048.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,040.47 / $1,500.33 / $1,692.92	Professional		$1,040.47	$1,500.33	$1,692.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $861.37 / $1,310.27 / $1,931.95	Facility		$861.37	$1,310.27	$1,931.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $779.64 / $1,199.99 / $1,303.82	Facility		$779.64	$1,199.99	$1,303.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $898.58 / $1,528.47 / $2,724.00	Facility		$898.58	$1,528.47	$2,724.00
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,808.64 / $16,697.40 / $21,403.95	Facility	50	$12,808.64	$16,697.40	$21,403.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00