Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,617.97 / $9,972.00 / $20,400.00	Facility		$1,617.97	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,167.74 / $1,670.20 / $1,880.47	Professional		$1,167.74	$1,670.20	$1,880.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.27 / $1,574.70 / $2,403.78	Facility		$851.27	$1,574.70	$2,403.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $986.93 / $1,405.53 / $1,628.25	Facility		$986.93	$1,405.53	$1,628.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.27 / $1,722.10 / $2,084.94	Facility		$851.27	$1,722.10	$2,084.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $38,534.69	Facility		$13,624.30	$17,810.43	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00