Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.55 / $7,920.26 / $20,400.00	Facility		$1,209.55	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $987.06 / $1,414.21 / $1,609.89	Professional		$987.06	$1,414.21	$1,609.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $846.80 / $1,242.29 / $1,820.62	Facility		$846.80	$1,242.29	$1,820.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $895.84 / $1,202.42 / $1,284.52	Facility		$895.84	$1,202.42	$1,284.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $846.80 / $1,389.95 / $1,820.62	Facility		$846.80	$1,389.95	$1,820.62
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