Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,026.65 / $5,649.00 / $15,341.00	Facility		$1,026.65	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.46 / $1,079.69 / $1,215.61	Professional		$750.46	$1,079.69	$1,215.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $655.48 / $953.62 / $1,409.28	Facility		$655.48	$953.62	$1,409.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $610.13 / $872.30 / $945.37	Facility		$610.13	$872.30	$945.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $655.48 / $1,110.51 / $3,274.00	Facility		$655.48	$1,110.51	$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 / $9,529.00 / $14,381.98	Facility		$1,981.00	$9,529.00	$14,381.98