Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.44 / $7,920.26 / $20,400.00	Facility		$957.44	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.74 / $2,803.17 / $7,404.32	Professional		$812.74	$2,803.17	$7,404.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.47 / $3,103.99 / $7,888.70	Facility		$645.47	$3,103.99	$7,888.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $606.05 / $5,386.55 / $6,671.19	Facility		$606.05	$5,386.55	$6,671.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.47 / $5,264.70 / $8,096.17	Facility		$645.47	$5,264.70	$8,096.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00