Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,258.93 / $7,943.28	Facility		$676.08	$1,258.93	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,047.13 / $1,288.25	Professional		$467.74	$1,047.13	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $741.31 / $1,778.28	Facility		$676.08	$741.31	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $977.24 / $1,023.29	Facility		$851.14	$977.24	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $691.83 / $1,230.27	Facility		$575.44	$691.83	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
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