Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.52 / $4,704.00 / $8,728.00	Facility		$1,087.52	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.03 / $1,142.19 / $1,286.47	Professional		$797.03	$1,142.19	$1,286.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $700.63 / $1,054.15 / $1,506.35	Facility		$700.63	$1,054.15	$1,506.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $687.99 / $928.22 / $993.61	Facility		$687.99	$928.22	$993.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.63 / $1,185.24 / $2,724.00	Facility		$700.63	$1,185.24	$2,724.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$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