Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,564.24 / $7,920.26 / $11,029.52	Facility		$1,564.24	$7,920.26	$11,029.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,129.25 / $1,597.56 / $1,818.61	Professional		$1,129.25	$1,597.56	$1,818.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $692.80 / $1,309.21 / $1,968.39	Facility		$692.80	$1,309.21	$1,968.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,011.75 / $1,375.63 / $1,452.56	Facility		$1,011.75	$1,375.63	$1,452.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $692.80 / $1,421.24 / $1,968.39	Facility		$692.80	$1,421.24	$1,968.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,891.56 / $3,891.56 / $3,891.56	Facility		$3,891.56	$3,891.56	$3,891.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00