Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.74 / $12,274.80 / $21,735.00	Facility		$1,028.74	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.06 / $1,058.64 / $1,205.11	Professional		$741.06	$1,058.64	$1,205.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $633.29 / $933.57 / $1,361.60	Facility		$633.29	$933.57	$1,361.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $675.88 / $902.74 / $992.12	Facility		$675.88	$902.74	$992.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $633.29 / $1,054.02 / $1,305.09	Facility		$633.29	$1,054.02	$1,305.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,175.85 / $35,294.44 / $42,789.49	Facility		$28,175.85	$35,294.44	$42,789.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $25,156.00 / $35,693.00	Facility		$3,340.00	$25,156.00	$35,693.00