Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.51 / $2,747.00 / $7,920.26	Facility		$1,479.51	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,155.06 / $1,638.84 / $1,865.60	Professional		$1,155.06	$1,638.84	$1,865.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $987.19 / $1,453.72 / $2,160.35	Facility		$987.19	$1,453.72	$2,160.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,078.50 / $1,407.06 / $1,533.40	Facility		$1,078.50	$1,407.06	$1,533.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $987.19 / $1,642.72 / $2,160.35	Facility		$987.19	$1,642.72	$2,160.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $16,642.54 / $20,571.93	Facility		$12,954.82	$16,642.54	$20,571.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00