Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $7,943.28	Facility		$1,148.15	$1,949.84	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,995.26	Professional		$1,202.26	$1,584.89	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,148.15 / $2,511.89	Facility		$912.01	$1,148.15	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $1,584.89	Facility		$1,318.26	$1,513.56	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,949.84	Facility		$891.25	$1,148.15	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
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