Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.40 / $5,649.00 / $15,341.00	Facility		$1,389.40	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,018.27 / $1,454.87 / $1,638.03	Professional		$1,018.27	$1,454.87	$1,638.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $895.01 / $1,343.43 / $1,924.27	Facility		$895.01	$1,343.43	$1,924.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $884.21 / $1,188.79 / $1,270.32	Facility		$884.21	$1,188.79	$1,270.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $895.01 / $1,522.22 / $3,274.00	Facility		$895.01	$1,522.22	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $11,474.33 / $13,050.49	Facility		$8,508.06	$11,474.33	$13,050.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00