Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,413.10 / $15,848.93	Facility		$1,621.81	$7,413.10	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,584.89 / $1,995.26	Professional		$707.95	$1,584.89	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $7,943.28	Facility		$1,096.48	$1,659.59	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,621.81	Facility		$1,258.93	$1,548.82	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,380.38 / $2,041.74	Facility		$912.01	$1,380.38	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $26,915.35 / $43,651.58	Facility		$10,964.78	$26,915.35	$43,651.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $79,432.82	Facility		$3,311.31	$26,302.68	$79,432.82