Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $13,803.84	Facility		$1,000.00	$1,258.93	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,258.93	Professional		$724.44	$954.99	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $851.14 / $1,737.80	Facility		$537.03	$851.14	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $954.99 / $1,000.00	Facility		$741.31	$954.99	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $1,174.90	Facility		$512.86	$691.83	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $7,762.47	Facility		$5,011.87	$6,456.54	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $9,120.11	Facility		$1,096.48	$3,715.35	$9,120.11