Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $15,848.93	Facility		$1,412.54	$1,862.09	$15,848.93
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 $741.31 / $1,096.48 / $7,943.28	Facility		$741.31	$1,096.48	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,412.54 / $1,479.11	Facility		$870.96	$1,412.54	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,698.24	Facility		$776.25	$1,023.29	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $12,882.50 / $20,417.38	Facility		$5,248.07	$12,882.50	$20,417.38
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