Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.55 / $7,920.26 / $20,400.00	Facility		$1,574.55	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,154.56 / $1,652.95 / $1,861.05	Professional		$1,154.56	$1,652.95	$1,861.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,015.35 / $1,522.50 / $2,183.00	Facility		$1,015.35	$1,522.50	$2,183.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $993.71 / $1,348.04 / $1,441.84	Facility		$993.71	$1,348.04	$1,441.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,015.35 / $1,713.12 / $5,626.00	Facility		$1,015.35	$1,713.12	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49,533.96 / $65,887.53 / $75,513.42	Facility		$49,533.96	$65,887.53	$75,513.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $30,636.00 / $55,640.00	Facility		$3,960.00	$30,636.00	$55,640.00