Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.87 / $4,962.67 / $15,341.00	Facility		$1,406.87	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,217.55 / $1,631.08 / $2,088.05	Professional		$1,217.55	$1,631.08	$2,088.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $924.61 / $1,482.87 / $2,216.81	Facility		$924.61	$1,482.87	$2,216.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.81 / $1,545.80 / $1,746.69	Facility		$954.81	$1,545.80	$1,746.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $950.86 / $1,737.02 / $3,003.69	Facility		$950.86	$1,737.02	$3,003.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
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