Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.29 / $8,933.95 / $14,447.68	Facility		$1,007.29	$8,933.95	$14,447.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $822.01 / $1,177.81 / $1,326.20	Professional		$822.01	$1,177.81	$1,326.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $722.68 / $1,080.98 / $1,553.76	Facility		$722.68	$1,080.98	$1,553.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $706.40 / $960.78 / $1,025.09	Facility		$706.40	$960.78	$1,025.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $722.68 / $1,217.60 / $6,246.00	Facility		$722.68	$1,217.60	$6,246.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,103.13 / $13,092.93	Facility		$8,763.99	$12,103.13	$13,092.93
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