Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.77 / $9,972.00 / $20,400.00	Facility		$1,229.77	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $888.34 / $1,279.32 / $1,440.38	Professional		$888.34	$1,279.32	$1,440.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $644.11 / $1,068.49 / $1,443.01	Facility		$644.11	$1,068.49	$1,443.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $728.69 / $1,007.01 / $1,125.59	Facility		$728.69	$1,007.01	$1,125.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $644.11 / $1,158.30 / $1,436.46	Facility		$644.11	$1,158.30	$1,436.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,661.78 / $2,661.78 / $2,661.78	Facility		$2,661.78	$2,661.78	$2,661.78
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