Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.72 / $8,663.07 / $23,394.13	Facility		$1,000.72	$8,663.07	$23,394.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $854.09 / $3,394.33 / $8,983.12	Professional		$854.09	$3,394.33	$8,983.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $593.70 / $3,765.85 / $11,698.55	Facility		$593.70	$3,765.85	$11,698.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $929.29 / $7,030.75 / $8,661.09	Facility		$929.29	$7,030.75	$8,661.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $593.70 / $5,970.94 / $11,698.55	Facility		$593.70	$5,970.94	$11,698.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,621.76 / $29,424.68 / $38,534.69	Facility		$23,621.76	$29,424.68	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00