Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.21 / $7,920.26 / $20,400.00	Facility		$1,135.21	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,063.92 / $1,528.77 / $1,721.24	Professional		$1,063.92	$1,528.77	$1,721.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $922.94 / $1,377.95 / $1,984.32	Facility		$922.94	$1,377.95	$1,984.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $931.69 / $1,259.59 / $1,350.05	Facility		$931.69	$1,259.59	$1,350.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $922.94 / $1,583.64 / $1,984.32	Facility		$922.94	$1,583.64	$1,984.32
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