Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.04 / $7,920.26 / $20,400.00	Facility		$1,084.04	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.24 / $1,142.11 / $1,286.94	Professional		$797.24	$1,142.11	$1,286.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $642.79 / $1,037.76 / $1,382.02	Facility		$642.79	$1,037.76	$1,382.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $682.18 / $928.81 / $992.94	Facility		$682.18	$928.81	$992.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $642.79 / $1,176.94 / $5,626.00	Facility		$642.79	$1,176.94	$5,626.00
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 / $9,529.00 / $12,953.60	Facility		$1,981.00	$9,529.00	$12,953.60