Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.90 / $2,747.00 / $7,920.26	Facility		$1,014.90	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.87 / $1,127.63 / $1,283.66	Professional		$798.87	$1,127.63	$1,283.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.01 / $962.82 / $1,447.60	Facility		$489.01	$962.82	$1,447.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $716.21 / $973.16 / $1,026.44	Facility		$716.21	$973.16	$1,026.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.01 / $1,050.01 / $1,447.60	Facility		$489.01	$1,050.01	$1,447.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,743.41 / $2,743.41 / $2,743.41	Facility		$2,743.41	$2,743.41	$2,743.41
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