Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,617.82 / $13,042.97 / $49,961.60	Facility		$1,617.82	$13,042.97	$49,961.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,407.97 / $2,010.60 / $2,288.80	Professional		$1,407.97	$2,010.60	$2,288.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,212.05 / $1,772.03 / $2,605.91	Facility		$1,212.05	$1,772.03	$2,605.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,289.25 / $1,715.17 / $1,845.52	Facility		$1,289.25	$1,715.17	$1,845.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,212.05 / $1,971.91 / $2,420.44	Facility		$1,212.05	$1,971.91	$2,420.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87,501.02 / $109,608.03 / $135,174.41	Facility		$87,501.02	$109,608.03	$135,174.41
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $66,335.00 / $93,493.00	Facility		$7,425.00	$66,335.00	$93,493.00