Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $7,943.28 / $26,915.35	Facility		$85.11	$7,943.28	$26,915.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,570.40	Professional		$1,479.11	$1,949.84	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,659.59 / $13,182.57	Facility		$977.24	$1,659.59	$13,182.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,041.74	Facility		$1,513.56	$1,949.84	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,398.83	Facility		$1,096.48	$1,412.54	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,748.98 / $26,302.68	Facility		$2,137.96	$11,748.98	$26,302.68