Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $13,182.57	Facility		$1,071.52	$1,380.38	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,380.38	Professional		$794.33	$1,023.29	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $1,862.09	Facility		$602.56	$954.99	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,071.52	Facility		$851.14	$1,023.29	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $1,288.25	Facility		$602.56	$776.25	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,964.78 / $13,182.57	Facility		$8,511.38	$10,964.78	$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