Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,481.16 / $11,652.00 / $23,856.49	Facility		$1,481.16	$11,652.00	$23,856.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.96 / $1,543.20 / $1,740.79	Professional		$1,071.96	$1,543.20	$1,740.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $775.77 / $1,254.95 / $1,679.04	Facility		$775.77	$1,254.95	$1,679.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $872.20 / $1,216.05 / $1,357.42	Facility		$872.20	$1,216.05	$1,357.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $775.77 / $1,499.81 / $9,325.04	Facility		$775.77	$1,499.81	$9,325.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
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