Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.16 / $5,649.00 / $15,341.00	Facility		$1,017.16	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $753.10 / $1,085.15 / $1,221.77	Professional		$753.10	$1,085.15	$1,221.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $648.45 / $919.31 / $1,394.17	Facility		$648.45	$919.31	$1,394.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $582.62 / $855.59 / $951.40	Facility		$582.62	$855.59	$951.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $648.45 / $1,079.50 / $3,274.00	Facility		$648.45	$1,079.50	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,539.09 / $11,131.60 / $14,269.30	Facility		$8,539.09	$11,131.60	$14,269.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00