Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $7,074.00 / $20,400.00	Facility		$0.90	$7,074.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,801.44 / $2,593.66 / $2,965.45	Professional		$1,801.44	$2,593.66	$2,965.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,196.16 / $2,320.94 / $3,609.64	Facility		$1,196.16	$2,320.94	$3,609.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,420.90 / $2,058.03 / $2,253.88	Facility		$1,420.90	$2,058.03	$2,253.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,678.90 / $2,662.00 / $5,626.00	Facility		$1,678.90	$2,662.00	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00