Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.43 / $8,952.00 / $13,746.00	Facility		$964.43	$8,952.00	$13,746.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $908.56 / $1,308.32 / $1,473.04	Professional		$908.56	$1,308.32	$1,473.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $1,089.91 / $1,685.79	Facility		$576.88	$1,089.91	$1,685.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $682.51 / $1,063.07 / $1,149.05	Facility		$682.51	$1,063.07	$1,149.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $709.32 / $1,342.94 / $6,246.00	Facility		$709.32	$1,342.94	$6,246.00
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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00