Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,073.80 / $22,387.21	Facility		$1,023.29	$4,073.80	$22,387.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,412.54	Professional		$891.25	$1,148.15	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $933.25 / $1,905.46	Facility		$575.44	$933.25	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,096.48	Facility		$724.44	$1,000.00	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $776.25 / $1,258.93	Facility		$524.81	$776.25	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $20,892.96 / $25,703.96	Facility		$14,454.40	$20,892.96	$25,703.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $14,791.08	Facility		$1,698.24	$5,754.40	$14,791.08