Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $15,848.93	Facility		$1,778.28	$2,290.87	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,290.87	Professional		$1,318.26	$1,698.24	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,454.71	Facility		$977.24	$1,412.54	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $1,819.70	Facility		$1,230.27	$1,698.24	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $2,137.96	Facility		$870.96	$1,258.93	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,715.19 / $21,379.62	Facility		$4,365.16	$10,715.19	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $8,128.31 / $12,882.50	Facility		$1,445.44	$8,128.31	$12,882.50