Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.74 / $12,274.80 / $21,735.00	Facility		$1,250.74	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $900.26 / $1,275.19 / $1,451.63	Professional		$900.26	$1,275.19	$1,451.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $765.99 / $1,158.51 / $1,713.29	Facility		$765.99	$1,158.51	$1,713.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $845.94 / $1,096.68 / $1,185.92	Facility		$845.94	$1,096.68	$1,185.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $765.99 / $1,458.60 / $11,983.00	Facility		$765.99	$1,458.60	$11,983.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00