Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,561.47 / $20,400.00 / $44,621.52	Facility		$1,561.47	$20,400.00	$44,621.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,274.25 / $1,807.05 / $2,057.09	Professional		$1,274.25	$1,807.05	$2,057.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $783.65 / $1,486.13 / $2,234.39	Facility		$783.65	$1,486.13	$2,234.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,145.30 / $1,552.27 / $1,661.92	Facility		$1,145.30	$1,552.27	$1,661.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.65 / $1,937.47 / $2,234.39	Facility		$783.65	$1,937.47	$2,234.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57,598.85 / $77,123.97 / $88,910.09	Facility		$57,598.85	$77,123.97	$88,910.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $50,817.00 / $61,876.00	Facility		$3,960.00	$50,817.00	$61,876.00