Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.38 / $7,920.26 / $21,735.00	Facility		$1,260.38	$7,920.26	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,073.29 / $1,548.39 / $1,765.77	Professional		$1,073.29	$1,548.39	$1,765.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $828.29 / $1,322.77 / $2,203.11	Facility		$828.29	$1,322.77	$2,203.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $854.17 / $1,181.21 / $1,356.08	Facility		$854.17	$1,181.21	$1,356.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,024.70 / $1,530.85 / $9,325.04	Facility		$1,024.70	$1,530.85	$9,325.04
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