Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.09 / $4,684.68 / $8,728.00	Facility		$934.09	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.58 / $1,021.22 / $1,249.32	Professional		$820.58	$1,021.22	$1,249.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $641.41 / $1,000.29 / $1,379.05	Facility		$641.41	$1,000.29	$1,379.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $947.36 / $1,033.14	Facility		$654.00	$947.36	$1,033.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $641.41 / $1,089.61 / $1,776.64	Facility		$641.41	$1,089.61	$1,776.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
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