Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,412.54 / $7,943.28	Facility		$776.25	$1,412.54	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,202.26 / $1,479.11	Professional		$537.03	$1,202.26	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,659.59	Facility		$776.25	$1,096.48	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,174.90	Facility		$912.01	$1,096.48	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,513.56	Facility		$676.08	$1,000.00	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $21,379.62	Facility		$12,882.50	$17,378.01	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68