Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,693.04 / $9,972.00 / $20,400.00	Facility		$1,693.04	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,224.83 / $1,754.78 / $1,975.70	Professional		$1,224.83	$1,754.78	$1,975.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $887.87 / $1,479.64 / $2,057.61	Facility		$887.87	$1,479.64	$2,057.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,031.99 / $1,419.45 / $1,551.72	Facility		$1,031.99	$1,419.45	$1,551.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $887.87 / $1,659.53 / $1,978.78	Facility		$887.87	$1,659.53	$1,978.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,039.76 / $15,838.63 / $18,619.91	Facility		$12,039.76	$15,838.63	$18,619.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00