Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $13,803.84	Facility		$1,513.56	$1,949.84	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,548.82 / $1,995.26	Professional		$707.95	$1,548.82	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $8,912.51	Facility		$1,000.00	$1,445.44	$8,912.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,513.56	Facility		$1,148.15	$1,445.44	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,949.84	Facility		$891.25	$1,288.25	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68