Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $13,182.57	Facility		$1,621.81	$2,041.74	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,995.26	Professional		$1,148.15	$1,513.56	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,754.23	Facility		$954.99	$1,380.38	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,621.81	Facility		$1,071.52	$1,479.11	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,905.46	Facility		$891.25	$1,230.27	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96