Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.06 / $2,747.00 / $7,920.26	Facility		$1,604.06	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,287.04 / $1,836.94 / $2,068.21	Professional		$1,287.04	$1,836.94	$2,068.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,134.22 / $1,697.29 / $2,438.57	Facility		$1,134.22	$1,697.29	$2,438.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,132.76 / $1,523.53 / $1,620.06	Facility		$1,132.76	$1,523.53	$1,620.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,134.22 / $1,768.82 / $2,165.90	Facility		$1,134.22	$1,768.82	$2,165.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,132.88 / $4,132.88 / $4,132.88	Facility		$4,132.88	$4,132.88	$4,132.88
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,199.32 / $6,199.32 / $6,199.32	Facility	50	$6,199.32	$6,199.32	$6,199.32
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