Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,396.24 / $2,747.00 / $7,920.26	Facility		$1,396.24	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,115.47 / $1,596.87 / $1,797.91	Professional		$1,115.47	$1,596.87	$1,797.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $989.33 / $1,435.50 / $2,127.06	Facility		$989.33	$1,435.50	$2,127.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $1,298.70 / $1,411.02	Facility		$950.00	$1,298.70	$1,411.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $989.33 / $1,542.86 / $1,915.99	Facility		$989.33	$1,542.86	$1,915.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,612.97 / $3,612.97 / $3,612.97	Facility		$3,612.97	$3,612.97	$3,612.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00