Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.86 / $8,878.56 / $20,400.00	Facility		$1,340.86	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $961.80 / $1,386.32 / $1,581.12	Professional		$961.80	$1,386.32	$1,581.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.18 / $1,206.59 / $1,961.79	Facility		$758.18	$1,206.59	$1,961.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $789.74 / $1,092.09 / $1,203.32	Facility		$789.74	$1,092.09	$1,203.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.46 / $1,415.25 / $6,246.00	Facility		$912.46	$1,415.25	$6,246.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00