Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.22 / $2,747.00 / $7,920.26	Facility		$1,020.22	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.34 / $1,180.21 / $1,330.09	Professional		$823.34	$1,180.21	$1,330.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $667.95 / $1,041.67 / $1,436.09	Facility		$667.95	$1,041.67	$1,436.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $711.73 / $958.29 / $1,031.80	Facility		$711.73	$958.29	$1,031.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $667.95 / $1,113.14 / $1,436.09	Facility		$667.95	$1,113.14	$1,436.09
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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00