Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $15,848.93	Facility		$1,348.96	$1,737.80	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,737.80	Professional		$1,000.00	$1,288.25	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $8,511.38	Facility		$758.58	$1,174.90	$8,511.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,380.38	Facility		$1,047.13	$1,288.25	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,621.81	Facility		$741.31	$977.24	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68