Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,995.26 / $7,943.28	Facility		$954.99	$1,995.26	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,995.26	Professional		$1,148.15	$1,513.56	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,202.26 / $2,041.74	Facility		$891.25	$1,202.26	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $1,659.59	Facility		$1,174.90	$1,513.56	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,905.46	Facility		$851.14	$1,122.02	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,128.31 / $12,882.50	Facility		$1,995.26	$8,128.31	$12,882.50