Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,943.28 / $15,848.93	Facility		$2,344.23	$7,943.28	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $3,019.95	Professional		$1,778.28	$2,344.23	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $13,182.57	Facility		$1,258.93	$1,737.80	$13,182.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $2,398.83	Facility		$1,862.09	$2,290.87	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,818.38	Facility		$1,258.93	$1,621.81	$2,818.38
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $22,387.21 / $30,902.95 / $37,153.52	Facility	50	$22,387.21	$30,902.95	$37,153.52
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