Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.76 / $8,878.56 / $20,400.00	Facility		$1,043.76	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.92 / $1,074.80 / $1,223.52	Professional		$750.92	$1,074.80	$1,223.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $644.82 / $945.09 / $1,386.36	Facility		$644.82	$945.09	$1,386.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $681.69 / $914.76 / $977.16	Facility		$681.69	$914.76	$977.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $644.82 / $1,057.41 / $1,303.24	Facility		$644.82	$1,057.41	$1,303.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,410.73 / $11,450.46 / $14,700.82	Facility		$8,410.73	$11,450.46	$14,700.82
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