Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,764.40 / $9,972.00 / $20,400.00	Facility		$1,764.40	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,277.59 / $1,830.57 / $2,061.04	Professional		$1,277.59	$1,830.57	$2,061.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $923.39 / $1,538.83 / $2,157.57	Facility		$923.39	$1,538.83	$2,157.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,013.23 / $1,480.79 / $1,620.06	Facility		$1,013.23	$1,480.79	$1,620.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $923.39 / $1,728.54 / $2,062.01	Facility		$923.39	$1,728.54	$2,062.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,946.57 / $8,924.50 / $21,189.66	Facility		$3,946.57	$8,924.50	$21,189.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $11,770.00 / $26,404.00	Facility		$2,155.00	$11,770.00	$26,404.00