Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.15 / $2,747.00 / $7,920.26	Facility		$1,132.15	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.98 / $1,344.49 / $1,516.50	Professional		$933.98	$1,344.49	$1,516.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $807.80 / $1,201.76 / $1,736.77	Facility		$807.80	$1,201.76	$1,736.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $782.47 / $1,080.03 / $1,169.15	Facility		$782.47	$1,080.03	$1,169.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $807.80 / $1,273.39 / $1,604.99	Facility		$807.80	$1,273.39	$1,604.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,920.89 / $2,920.89 / $2,920.89	Facility		$2,920.89	$2,920.89	$2,920.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00