Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.98 / $10,347.48 / $20,400.00	Facility		$895.98	$10,347.48	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $736.47 / $1,060.24 / $1,200.82	Professional		$736.47	$1,060.24	$1,200.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $623.92 / $934.47 / $1,341.45	Facility		$623.92	$934.47	$1,341.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $614.83 / $850.23 / $923.26	Facility		$614.83	$850.23	$923.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $623.92 / $1,071.63 / $6,246.00	Facility		$623.92	$1,071.63	$6,246.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00