Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $7,943.28 / $20,892.96	Facility		$1,122.02	$7,943.28	$20,892.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,096.48 / $1,380.38	Professional		$489.78	$1,096.48	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $20,417.38	Facility		$741.31	$1,071.52	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,148.15	Facility		$912.01	$1,047.13	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $758.58 / $1,412.54	Facility		$616.60	$758.58	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87,096.36 / $109,647.82 / $138,038.43	Facility		$87,096.36	$109,647.82	$138,038.43
United Facility/Professional Facility Modifier Low / Median / High Price $41,686.94 / $74,131.02 / $117,489.76	Facility		$41,686.94	$74,131.02	$117,489.76