Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,548.82 / $7,943.28	Facility		$831.76	$1,548.82	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,288.25 / $1,584.89	Professional		$588.84	$1,288.25	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,819.70	Facility		$831.76	$1,202.26	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,288.25	Facility		$1,000.00	$1,202.26	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $977.24 / $1,584.89	Facility		$724.44	$977.24	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
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