Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,547.01 / $7,920.26 / $11,029.52	Facility		$1,547.01	$7,920.26	$11,029.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,004.93 / $1,421.25 / $1,617.90	Professional		$1,004.93	$1,421.25	$1,617.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.34 / $1,139.41 / $1,713.10	Facility		$616.34	$1,139.41	$1,713.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $900.36 / $1,224.19 / $1,312.40	Facility		$900.36	$1,224.19	$1,312.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.34 / $1,242.58 / $1,713.10	Facility		$616.34	$1,242.58	$1,713.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,928.40 / $58,697.58 / $69,447.28	Facility		$44,928.40	$58,697.58	$69,447.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $22,177.00 / $68,672.00	Facility		$3,028.00	$22,177.00	$68,672.00