Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.76 / $8,878.56 / $20,400.00	Facility		$1,250.76	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,217.07 / $1,753.77 / $1,998.37	Professional		$1,217.07	$1,753.77	$1,998.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,016.88 / $1,454.14 / $2,186.29	Facility		$1,016.88	$1,454.14	$2,186.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,056.69 / $1,425.28 / $1,524.25	Facility		$1,056.69	$1,425.28	$1,524.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,016.88 / $1,815.21 / $8,061.00	Facility		$1,016.88	$1,815.21	$8,061.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00