Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,754.23 / $13,803.84	Facility		$1,548.82	$2,754.23	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,412.54 / $1,905.46	Professional		$630.96	$1,412.54	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $13,489.63	Facility		$1,023.29	$1,479.11	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,548.82	Facility		$1,258.93	$1,445.44	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,905.46	Facility		$724.44	$1,047.13	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33