Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.41 / $9,876.82 / $14,007.57	Facility		$1,271.41	$9,876.82	$14,007.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,037.55 / $1,482.58 / $1,669.24	Professional		$1,037.55	$1,482.58	$1,669.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $915.78 / $1,374.60 / $1,968.93	Facility		$915.78	$1,374.60	$1,968.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $899.23 / $1,216.72 / $1,294.44	Facility		$899.23	$1,216.72	$1,294.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $915.78 / $1,547.95 / $5,626.00	Facility		$915.78	$1,547.95	$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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00