Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $26,915.35	Facility		$1,778.28	$2,290.87	$26,915.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,344.23	Professional		$1,380.38	$1,778.28	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,288.25 / $13,489.63	Facility		$954.99	$1,288.25	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $1,819.70	Facility		$1,380.38	$1,737.80	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,137.96	Facility		$954.99	$1,258.93	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $20,417.38 / $24,547.09	Facility		$14,791.08	$20,417.38	$24,547.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $28,840.32	Facility		$2,884.03	$17,782.79	$28,840.32