Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,288.25 / $7,943.28	Facility		$707.95	$1,288.25	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,047.13 / $1,318.26	Professional		$467.74	$1,047.13	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,513.56	Facility		$660.69	$1,000.00	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,047.13	Facility		$741.31	$1,000.00	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $870.96 / $1,258.93	Facility		$602.56	$870.96	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,120.11 / $12,882.50	Facility		$4,570.88	$9,120.11	$12,882.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $13,803.84	Facility		$1,096.48	$3,715.35	$13,803.84