Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $7,943.28 / $19,054.61	Facility		$1,348.96	$7,943.28	$19,054.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,698.24	Professional		$977.24	$1,288.25	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,174.90 / $6,456.54	Facility		$776.25	$1,174.90	$6,456.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,348.96	Facility		$891.25	$1,202.26	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,513.56	Facility		$741.31	$1,023.29	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,454.40	Facility		$1,995.26	$10,000.00	$14,454.40