Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.64 / $4,704.00 / $9,180.15	Facility		$96.64	$4,704.00	$9,180.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,239.22 / $1,757.75 / $1,979.05	Professional		$1,239.22	$1,757.75	$1,979.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $1,463.49 / $2,293.64	Facility		$837.35	$1,463.49	$2,293.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,276.00 / $1,509.60 / $4,200.00	Facility		$1,276.00	$1,509.60	$4,200.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $1,720.43 / $2,056.01	Facility		$837.35	$1,720.43	$2,056.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00