Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.55 / $7,920.26 / $20,400.00	Facility		$1,170.55	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $856.87 / $1,225.06 / $1,379.29	Professional		$856.87	$1,225.06	$1,379.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $754.78 / $1,131.73 / $1,622.78	Facility		$754.78	$1,131.73	$1,622.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $740.32 / $1,004.33 / $1,069.32	Facility		$740.32	$1,004.33	$1,069.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $754.78 / $1,274.88 / $5,626.00	Facility		$754.78	$1,274.88	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32,811.37 / $46,997.26 / $54,268.19	Facility		$32,811.37	$46,997.26	$54,268.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00