Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $23,988.33	Facility		$1,949.84	$2,454.71	$23,988.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,041.74 / $2,511.89	Professional		$912.01	$2,041.74	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $11,748.98	Facility		$1,288.25	$1,905.46	$11,748.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $1,995.26	Facility		$1,412.54	$1,905.46	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,511.89	Facility		$1,148.15	$1,659.59	$2,511.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $21,379.62	Facility		$12,882.50	$17,378.01	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68