Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,244.36 / $14,125.38	Facility		$1,698.24	$7,244.36	$14,125.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,737.80 / $2,137.96	Professional		$776.25	$1,737.80	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $8,912.51	Facility		$1,148.15	$1,659.59	$8,912.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $1,698.24	Facility		$1,318.26	$1,621.81	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,187.76	Facility		$977.24	$1,479.11	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,748.98 / $14,791.08	Facility		$8,317.64	$11,748.98	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68