Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $7,943.28	Facility		$1,318.26	$1,698.24	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,698.24	Professional		$1,000.00	$1,288.25	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,949.84	Facility		$794.33	$1,148.15	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,348.96	Facility		$1,000.00	$1,258.93	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $933.25 / $1,584.89	Facility		$676.08	$933.25	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68