Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.15 / $2,491.02 / $8,078.00	Professional		$1,129.15	$2,491.02	$8,078.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,000.18 / $2,307.71 / $2,709.28	Professional		$2,000.18	$2,307.71	$2,709.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,661.40 / $2,231.02 / $3,056.97	Professional		$1,661.40	$2,231.02	$3,056.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,889.08 / $2,485.01 / $3,140.81	Professional		$1,889.08	$2,485.01	$3,140.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,894.41 / $2,449.19 / $2,875.35	Professional		$1,894.41	$2,449.19	$2,875.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,538.33 / $2,108.75 / $3,337.77	Professional		$1,538.33	$2,108.75	$3,337.77