Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.70 / $7,920.26 / $20,400.00	Facility		$580.70	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.73 / $1,019.76 / $2,677.13	Professional		$493.73	$1,019.76	$2,677.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.87 / $1,019.76 / $2,921.45	Facility		$344.87	$1,019.76	$2,921.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $522.60 / $1,968.41 / $2,339.19	Facility		$522.60	$1,968.41	$2,339.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.87 / $1,641.47 / $2,921.45	Facility		$344.87	$1,641.47	$2,921.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00