Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $13,182.57	Facility		$1,819.70	$2,290.87	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,187.76	Professional		$1,258.93	$1,659.59	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,445.44 / $3,162.28	Facility		$977.24	$1,445.44	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $1,819.70	Facility		$1,380.38	$1,698.24	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,137.96	Facility		$954.99	$1,258.93	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52