Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.11 / $2,747.00 / $7,920.26	Facility		$1,370.11	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,093.60 / $1,558.08 / $1,773.67	Professional		$1,093.60	$1,558.08	$1,773.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $917.10 / $1,376.38 / $1,978.01	Facility		$917.10	$1,376.38	$1,978.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $999.04 / $1,332.22 / $1,402.98	Facility		$999.04	$1,332.22	$1,402.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $917.10 / $1,522.69 / $1,971.77	Facility		$917.10	$1,522.69	$1,971.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,667.93 / $3,667.93 / $3,667.93	Facility		$3,667.93	$3,667.93	$3,667.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00