Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $7,943.28	Facility		$1,096.48	$1,949.84	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,041.74	Professional		$1,230.27	$1,584.89	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,318.26 / $2,238.72	Facility		$891.25	$1,318.26	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,621.81	Facility		$1,258.93	$1,548.82	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,905.46	Facility		$831.76	$1,174.90	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52