Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,181.32 / $5,116.62 / $15,341.00	Facility		$1,181.32	$5,116.62	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.82 / $1,240.33 / $1,396.50	Professional		$867.82	$1,240.33	$1,396.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $765.05 / $1,141.15 / $1,644.86	Facility		$765.05	$1,141.15	$1,644.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $755.82 / $1,017.21 / $1,080.71	Facility		$755.82	$1,017.21	$1,080.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $765.05 / $1,299.78 / $3,274.00	Facility		$765.05	$1,299.78	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,952.22 / $13,050.49	Facility		$6,909.34	$10,952.22	$13,050.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00