Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $7,943.28	Facility		$1,174.90	$1,949.84	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,041.74	Professional		$1,230.27	$1,584.89	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,137.96	Facility		$1,000.00	$1,479.11	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,621.81	Facility		$1,318.26	$1,548.82	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,041.74	Facility		$954.99	$1,348.96	$2,041.74
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