Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,412.54 / $7,943.28	Facility		$758.58	$1,412.54	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,202.26 / $1,479.11	Professional		$575.44	$1,202.26	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $870.96 / $1,995.26	Facility		$758.58	$870.96	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,148.15	Facility		$954.99	$1,096.48	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $1,445.44	Facility		$660.69	$870.96	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52