Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.68 / $8,878.56 / $25,032.04	Facility		$1,861.68	$8,878.56	$25,032.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,333.51 / $1,907.48 / $2,171.41	Professional		$1,333.51	$1,907.48	$2,171.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,147.89 / $1,678.32 / $2,467.96	Facility		$1,147.89	$1,678.32	$2,467.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,209.31 / $1,624.45 / $1,734.68	Facility		$1,209.31	$1,624.45	$1,734.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,147.89 / $1,870.05 / $2,467.96	Facility		$1,147.89	$1,870.05	$2,467.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,410.73 / $11,450.46 / $14,700.82	Facility		$8,410.73	$11,450.46	$14,700.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00