Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,224.46 / $5,649.00 / $15,341.00	Facility		$1,224.46	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $889.33 / $1,099.53 / $1,329.90	Professional		$889.33	$1,099.53	$1,329.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $669.01 / $882.82 / $1,605.38	Facility		$669.01	$882.82	$1,605.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $771.81 / $1,060.14 / $1,117.56	Facility		$771.81	$1,060.14	$1,117.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.88 / $1,202.32 / $4,681.00	Facility		$724.88	$1,202.32	$4,681.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00