Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,153.63 / $11,652.00 / $23,856.49	Facility		$2,153.63	$11,652.00	$23,856.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,556.64 / $2,200.69 / $2,505.21	Professional		$1,556.64	$2,200.69	$2,505.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,321.19 / $1,998.93 / $2,904.53	Facility		$1,321.19	$1,998.93	$2,904.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,397.03 / $1,896.27 / $2,037.28	Facility		$1,397.03	$1,896.27	$2,037.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,321.19 / $2,201.76 / $2,904.53	Facility		$1,321.19	$2,201.76	$2,904.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$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