Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $7,943.28	Facility		$1,258.93	$1,621.81	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,621.81	Professional		$933.25	$1,202.26	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,148.15 / $2,187.76	Facility		$707.95	$1,148.15	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,258.93	Facility		$954.99	$1,230.27	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $933.25 / $1,513.56	Facility		$707.95	$933.25	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,481.54 / $13,182.57	Facility		$8,511.38	$11,481.54	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68