Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,534.30 / $8,878.56 / $20,400.00	Facility		$1,534.30	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,106.02 / $1,582.29 / $1,781.50	Professional		$1,106.02	$1,582.29	$1,781.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $807.77 / $1,346.15 / $1,860.46	Facility		$807.77	$1,346.15	$1,860.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $927.82 / $1,283.05 / $1,398.29	Facility		$927.82	$1,283.05	$1,398.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $807.77 / $1,535.41 / $1,782.27	Facility		$807.77	$1,535.41	$1,782.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,892.24 / $23,665.33 / $28,288.01	Facility		$18,892.24	$23,665.33	$28,288.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00