Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.01 / $7,920.26 / $24,447.00	Facility		$1,313.01	$7,920.26	$24,447.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $995.99 / $1,431.56 / $1,617.70	Professional		$995.99	$1,431.56	$1,617.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $892.70 / $1,253.53 / $1,919.31	Facility		$892.70	$1,253.53	$1,919.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $737.90 / $1,153.75 / $1,251.56	Facility		$737.90	$1,153.75	$1,251.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $892.70 / $1,487.68 / $1,919.31	Facility		$892.70	$1,487.68	$1,919.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35,495.44 / $44,586.59 / $52,124.27	Facility		$35,495.44	$44,586.59	$52,124.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00