Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $7,943.28	Facility		$1,230.27	$1,995.26	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,041.74	Professional		$1,174.90	$1,513.56	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,137.96	Facility		$933.25	$1,230.27	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,621.81	Facility		$1,071.52	$1,445.44	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,041.74	Facility		$891.25	$1,230.27	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,620.87 / $22,387.21	Facility		$13,489.63	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $25,703.96	Facility		$1,995.26	$10,232.93	$25,703.96