Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $5,128.61 / $7,943.28	Facility		$144.54	$5,128.61	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,786.30 / $5,888.44	Professional		$2,238.72	$4,786.30	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $6,606.93	Facility		$2,818.38	$4,365.16	$6,606.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,466.84 / $4,677.35	Facility		$3,630.78	$4,466.84	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $5,754.40	Facility		$2,754.23	$3,548.13	$5,754.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility		$12,302.69	$12,302.69	$12,302.69
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