Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.15 / $7,920.26 / $13,320.00	Facility		$768.15	$7,920.26	$13,320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $862.72 / $1,242.19 / $1,403.82	Professional		$862.72	$1,242.19	$1,403.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $624.52 / $1,006.42 / $1,342.72	Facility		$624.52	$1,006.42	$1,342.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $640.35 / $946.71 / $1,090.76	Facility		$640.35	$946.71	$1,090.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.52 / $1,163.97 / $1,384.97	Facility		$624.52	$1,163.97	$1,384.97
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