Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,626.07 / $2,747.00 / $7,920.26	Facility		$1,626.07	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,294.77 / $1,851.49 / $2,084.59	Professional		$1,294.77	$1,851.49	$2,084.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $945.04 / $1,574.91 / $2,215.89	Facility		$945.04	$1,574.91	$2,215.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,081.18 / $1,505.80 / $1,642.84	Facility		$1,081.18	$1,505.80	$1,642.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $945.04 / $1,756.68 / $2,096.34	Facility		$945.04	$1,756.68	$2,096.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,031.72 / $4,031.72 / $4,031.72	Facility		$4,031.72	$4,031.72	$4,031.72
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