Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,862.09 / $7,943.28	Facility		$977.24	$1,862.09	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,513.56 / $1,905.46	Professional		$676.08	$1,513.56	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,137.96	Facility		$954.99	$1,412.54	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,513.56	Facility		$1,047.13	$1,380.38	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,737.80	Facility		$870.96	$1,122.02	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68