Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,162.28 / $7,943.28	Facility		$1,659.59	$3,162.28	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $3,235.94	Professional		$1,995.26	$2,630.27	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $3,548.13	Facility		$1,288.25	$1,949.84	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $2,630.27	Facility		$1,862.09	$2,454.71	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,019.95	Facility		$1,258.93	$1,819.70	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility	50	$10,000.00	$10,000.00	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52