Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,298.88 / $1,601.12 / $3,885.97	Facility		$1,298.88	$1,601.12	$3,885.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,243.43 / $1,817.71 / $3,726.22	Professional		$1,243.43	$1,817.71	$3,726.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $846.92 / $1,820.88 / $4,769.60	Facility		$846.92	$1,820.88	$4,769.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,252.23 / $2,966.44 / $3,480.99	Facility		$1,252.23	$2,966.44	$3,480.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,286.67 / $3,820.67 / $9,178.00	Facility		$1,286.67	$3,820.67	$9,178.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28