Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,228.67 / $7,920.26 / $20,400.00	Facility		$1,228.67	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $796.30 / $1,145.97 / $1,298.31	Professional		$796.30	$1,145.97	$1,298.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,002.20 / $2,103.90 / $3,028.56	Facility		$1,002.20	$2,103.90	$3,028.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $819.96 / $1,494.68 / $2,125.00	Facility		$819.96	$1,494.68	$2,125.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,273.42 / $2,126.57 / $9,999.15	Facility		$1,273.42	$2,126.57	$9,999.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00