Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $30,199.52	Facility		$1,148.15	$1,445.44	$30,199.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,380.38	Professional		$794.33	$1,047.13	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $1,995.26	Facility		$630.96	$954.99	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,148.15	Facility		$831.76	$1,047.13	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $776.25 / $1,318.26	Facility		$588.84	$776.25	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $11,748.98	Facility		$7,079.46	$9,772.37	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,772.37 / $14,125.38	Facility		$1,995.26	$9,772.37	$14,125.38