Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $13,803.84	Facility		$2,344.23	$2,951.21	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $2,570.40	Professional		$1,122.02	$2,187.76	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $4,073.80	Facility		$1,174.90	$1,778.28	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,344.23	Facility		$1,698.24	$2,238.72	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,884.03	Facility		$1,202.26	$1,698.24	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,220.18 / $13,489.63	Facility		$8,317.64	$11,220.18	$13,489.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68