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 $1,230.27 / $1,584.89 / $1,995.26	Professional		$1,230.27	$1,584.89	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,041.74	Facility		$851.14	$1,174.90	$2,041.74
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 $851.14 / $1,148.15 / $1,905.46	Facility		$851.14	$1,148.15	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
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