Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.84 / $2,747.00 / $7,920.26	Facility		$1,100.84	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.38 / $1,281.07 / $1,442.35	Professional		$901.38	$1,281.07	$1,442.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $733.82 / $1,065.16 / $1,577.71	Facility		$733.82	$1,065.16	$1,577.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $738.43 / $1,043.19 / $1,167.14	Facility		$738.43	$1,043.19	$1,167.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.82 / $1,253.75 / $1,577.71	Facility		$733.82	$1,253.75	$1,577.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,674.22 / $2,674.22 / $2,674.22	Facility		$2,674.22	$2,674.22	$2,674.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00