Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,089.30 / $7,943.28	Facility		$870.96	$2,089.30	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,187.76	Professional		$1,288.25	$1,698.24	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,089.30	Facility		$870.96	$1,230.27	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $1,737.80	Facility		$1,318.26	$1,659.59	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,041.74	Facility		$870.96	$1,174.90	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
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