Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.46 / $2,747.00 / $7,920.26	Facility		$1,192.46	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,187.86 / $1,698.35 / $1,912.17	Professional		$1,187.86	$1,698.35	$1,912.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $969.48 / $1,511.90 / $2,084.38	Facility		$969.48	$1,511.90	$2,084.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,043.60 / $1,402.36 / $1,496.78	Facility		$1,043.60	$1,402.36	$1,496.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $969.48 / $1,625.33 / $2,084.38	Facility		$969.48	$1,625.33	$2,084.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $22,870.85 / $34,486.44	Facility		$11,927.24	$22,870.85	$34,486.44
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