Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,311.31 / $21,877.62	Facility		$1,348.96	$3,311.31	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,230.27 / $1,548.82	Professional		$537.03	$1,230.27	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $7,943.28	Facility		$794.33	$1,174.90	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,258.93	Facility		$1,000.00	$1,174.90	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,584.89	Facility		$660.69	$1,071.52	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $36,307.81 / $45,708.82	Facility		$28,183.83	$36,307.81	$45,708.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $50,118.72	Facility		$3,019.95	$20,892.96	$50,118.72