Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.47 / $7,920.26 / $20,400.00	Facility		$1,043.47	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.24 / $1,065.16 / $1,212.55	Professional		$750.24	$1,065.16	$1,212.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $644.64 / $944.23 / $1,385.98	Facility		$644.64	$944.23	$1,385.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $700.10 / $913.93 / $988.72	Facility		$700.10	$913.93	$988.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $644.64 / $1,056.73 / $1,309.72	Facility		$644.64	$1,056.73	$1,309.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00