Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $7,943.28	Facility		$1,148.15	$1,905.46	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $1,995.26	Professional		$1,230.27	$1,621.81	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,995.26	Facility		$912.01	$1,174.90	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,584.89	Facility		$1,148.15	$1,513.56	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,905.46	Facility		$912.01	$1,148.15	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52