Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.32 / $12,274.80 / $21,735.00	Facility		$1,331.32	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $959.77 / $1,357.39 / $1,545.21	Professional		$959.77	$1,357.39	$1,545.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.65 / $1,088.24 / $1,636.17	Facility		$588.65	$1,088.24	$1,636.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $818.43 / $1,169.19 / $1,248.88	Facility		$818.43	$1,169.19	$1,248.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.65 / $1,186.80 / $1,636.17	Facility		$588.65	$1,186.80	$1,636.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $18,634.00 / $25,540.00	Facility		$3,340.00	$18,634.00	$25,540.00