Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.09 / $2,747.00 / $7,920.26	Facility		$869.09	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.46 / $986.76 / $1,123.30	Professional		$691.46	$986.76	$1,123.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $583.60 / $910.12 / $1,498.97	Facility		$583.60	$910.12	$1,498.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.74 / $848.22 / $1,103.49	Facility		$691.74	$848.22	$1,103.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $583.60 / $1,034.26 / $1,400.49	Facility		$583.60	$1,034.26	$1,400.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,954.59 / $2,954.59 / $2,954.59	Facility		$2,954.59	$2,954.59	$2,954.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00