Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $15,848.93	Facility		$1,862.09	$2,344.23	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,290.87	Professional		$1,318.26	$1,698.24	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $10,000.00	Facility		$1,000.00	$1,318.26	$10,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,862.09	Facility		$1,479.11	$1,778.28	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,238.72	Facility		$977.24	$1,318.26	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $32,359.37 / $38,904.51	Facility		$23,442.29	$32,359.37	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $45,708.82	Facility		$3,019.95	$20,892.96	$45,708.82