Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.72 / $7,920.26 / $20,400.00	Facility		$976.72	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.30 / $1,005.18 / $1,131.74	Professional		$709.30	$1,005.18	$1,131.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.01 / $973.99 / $1,419.02	Facility		$660.01	$973.99	$1,419.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $649.71 / $864.06 / $920.57	Facility		$649.71	$864.06	$920.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.01 / $1,087.26 / $1,419.02	Facility		$660.01	$1,087.26	$1,419.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $16,876.93 / $21,600.03	Facility		$13,624.30	$16,876.93	$21,600.03
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