Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,884.03 / $7,943.28	Facility		$245.47	$2,884.03	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,951.21 / $3,630.78	Professional		$1,318.26	$2,951.21	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,691.53 / $4,073.80	Facility		$1,737.80	$2,691.53	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $2,884.03	Facility		$2,089.30	$2,754.23	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,548.13	Facility		$1,659.59	$2,187.76	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
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