Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $7,943.28	Facility		$1,096.48	$1,412.54	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,023.29 / $1,202.26	Professional		$512.86	$1,023.29	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $1,905.46	Facility		$549.54	$891.25	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,122.02	Facility		$912.01	$1,071.52	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $831.76 / $1,348.96	Facility		$575.44	$831.76	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,454.40	Facility		$1,995.26	$10,000.00	$14,454.40