Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $7,943.28	Facility		$977.24	$1,819.70	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,513.56 / $1,862.09	Professional		$676.08	$1,513.56	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,137.96	Facility		$977.24	$1,412.54	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,479.11	Facility		$1,230.27	$1,412.54	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,258.93 / $1,905.46	Facility		$851.14	$1,258.93	$1,905.46
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