Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,439.25 / $2,747.00 / $7,920.26	Facility		$1,439.25	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,144.63 / $1,636.09 / $1,862.47	Professional		$1,144.63	$1,636.09	$1,862.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $967.13 / $1,395.61 / $2,079.33	Facility		$967.13	$1,395.61	$2,079.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $935.10 / $1,394.38 / $1,464.04	Facility		$935.10	$1,394.38	$1,464.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $967.13 / $1,528.04 / $2,079.33	Facility		$967.13	$1,528.04	$2,079.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,597.50 / $9,123.83 / $11,932.41	Facility		$4,597.50	$9,123.83	$11,932.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00