Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,619.96 / $2,747.00 / $7,920.26	Facility		$1,619.96	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,289.42 / $1,858.57 / $2,111.83	Professional		$1,289.42	$1,858.57	$2,111.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $985.11 / $1,578.41 / $2,639.79	Facility		$985.11	$1,578.41	$2,639.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,015.38 / $1,450.55 / $1,631.45	Facility		$1,015.38	$1,450.55	$1,631.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,227.81 / $1,817.70 / $2,639.79	Facility		$1,227.81	$1,817.70	$2,639.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00