Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.75 / $4,704.00 / $8,728.00	Facility		$1,020.75	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $747.47 / $1,069.57 / $1,204.22	Professional		$747.47	$1,069.57	$1,204.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $608.88 / $949.55 / $1,309.08	Facility		$608.88	$949.55	$1,309.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $654.08 / $880.32 / $938.00	Facility		$654.08	$880.32	$938.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $608.88 / $1,124.65 / $2,724.00	Facility		$608.88	$1,124.65	$2,724.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,386.92 / $10,378.18 / $13,050.49	Facility		$8,386.92	$10,378.18	$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