Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.73 / $8,878.56 / $20,400.00	Facility		$1,031.73	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $738.19 / $1,054.32 / $1,200.21	Professional		$738.19	$1,054.32	$1,200.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.22 / $914.71 / $1,375.27	Facility		$457.22	$914.71	$1,375.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $619.14 / $899.23 / $967.64	Facility		$619.14	$899.23	$967.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.22 / $997.55 / $1,375.27	Facility		$457.22	$997.55	$1,375.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,928.40 / $58,697.58 / $76,099.97	Facility		$44,928.40	$58,697.58	$76,099.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $37,152.00 / $65,339.00	Facility		$4,252.00	$37,152.00	$65,339.00