Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,240.91 / $7,920.26 / $11,029.52	Facility		$1,240.91	$7,920.26	$11,029.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $894.97 / $1,265.73 / $1,440.87	Professional		$894.97	$1,265.73	$1,440.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $548.90 / $1,014.20 / $1,524.84	Facility		$548.90	$1,014.20	$1,524.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.35 / $1,090.23 / $1,167.56	Facility		$831.35	$1,090.23	$1,167.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $548.90 / $1,106.04 / $1,524.84	Facility		$548.90	$1,106.04	$1,524.84
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 $3,028.00 / $22,177.00 / $68,672.00	Facility		$3,028.00	$22,177.00	$68,672.00