Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $13,182.57	Facility		$1,995.26	$2,511.89	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,398.83	Professional		$1,380.38	$1,778.28	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $3,388.44	Facility		$1,174.90	$1,621.81	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $1,995.26	Facility		$1,621.81	$1,905.46	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,454.71	Facility		$1,071.52	$1,479.11	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $21,379.62 / $25,703.96	Facility		$15,135.61	$21,379.62	$25,703.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $30,902.95	Facility		$2,137.96	$13,182.57	$30,902.95