Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.49 / $8,369.76 / $20,400.00	Facility		$1,114.49	$8,369.76	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.24 / $1,155.56 / $1,301.14	Professional		$804.24	$1,155.56	$1,301.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $584.88 / $974.70 / $1,318.98	Facility		$584.88	$974.70	$1,318.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $658.44 / $910.53 / $1,015.72	Facility		$658.44	$910.53	$1,015.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $584.88 / $1,113.53 / $1,293.16	Facility		$584.88	$1,113.53	$1,293.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
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