Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.56 / $7,920.26 / $20,400.00	Facility		$1,126.56	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.73 / $1,168.83 / $1,317.86	Professional		$812.73	$1,168.83	$1,317.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $592.48 / $987.37 / $1,336.57	Facility		$592.48	$987.37	$1,336.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $667.16 / $922.59 / $1,027.10	Facility		$667.16	$922.59	$1,027.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $592.48 / $1,164.78 / $5,626.00	Facility		$592.48	$1,164.78	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,224.37 / $15,008.49 / $18,619.91	Facility		$9,224.37	$15,008.49	$18,619.91
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