Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.43 / $2,747.00 / $7,920.26	Facility		$1,576.43	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,268.25 / $1,814.36 / $2,042.79	Professional		$1,268.25	$1,814.36	$2,042.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $802.67 / $1,497.49 / $2,166.83	Facility		$802.67	$1,497.49	$2,166.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,086.17 / $1,486.55 / $1,611.35	Facility		$1,086.17	$1,486.55	$1,611.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $802.67 / $1,718.98 / $2,048.28	Facility		$802.67	$1,718.98	$2,048.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,095.61 / $4,095.61 / $4,095.61	Facility		$4,095.61	$4,095.61	$4,095.61
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