Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,937.50 / $2,747.00 / $7,920.26	Facility		$1,937.50	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,529.10 / $2,203.48 / $2,500.41	Professional		$1,529.10	$2,203.48	$2,500.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,012.05 / $1,709.80 / $3,153.25	Facility		$1,012.05	$1,709.80	$3,153.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,030.96 / $1,575.13 / $1,930.27	Facility		$1,030.96	$1,575.13	$1,930.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,247.52 / $1,758.65 / $3,153.25	Facility		$1,247.52	$1,758.65	$3,153.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00