Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,606.26 / $7,920.26 / $20,400.00	Facility		$1,606.26	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,175.19 / $1,677.62 / $1,888.83	Professional		$1,175.19	$1,677.62	$1,888.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,036.18 / $1,552.23 / $2,227.79	Facility		$1,036.18	$1,552.23	$2,227.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,022.30 / $1,386.23 / $1,465.96	Facility		$1,022.30	$1,386.23	$1,465.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,036.18 / $1,758.77 / $5,626.00	Facility		$1,036.18	$1,758.77	$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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00