Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,258.93 / $7,943.28	Facility		$501.19	$1,258.93	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,288.25	Professional		$776.25	$1,023.29	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $1,202.26	Facility		$501.19	$707.95	$1,202.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $954.99 / $1,023.29	Facility		$724.44	$954.99	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $1,202.26	Facility		$501.19	$707.95	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,762.47 / $15,135.61	Facility		$2,570.40	$7,762.47	$15,135.61
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