Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.49 / $4,594.78 / $7,920.26	Facility		$1,404.49	$4,594.78	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,028.59 / $1,470.18 / $1,655.27	Professional		$1,028.59	$1,470.18	$1,655.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $907.28 / $1,357.20 / $1,950.65	Facility		$907.28	$1,357.20	$1,950.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $894.39 / $1,206.51 / $1,282.38	Facility		$894.39	$1,206.51	$1,282.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $907.28 / $1,414.90 / $1,715.14	Facility		$907.28	$1,414.90	$1,715.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,263.36 / $3,263.36 / $3,263.36	Facility		$3,263.36	$3,263.36	$3,263.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00