Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.62 / $11,652.00 / $23,856.49	Facility		$1,819.62	$11,652.00	$23,856.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,325.91 / $1,877.94 / $2,137.79	Professional		$1,325.91	$1,877.94	$2,137.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,117.11 / $1,668.75 / $2,469.50	Facility		$1,117.11	$1,668.75	$2,469.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.15 / $1,615.20 / $1,725.16	Facility		$1,230.15	$1,615.20	$1,725.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,117.11 / $1,861.68 / $2,469.50	Facility		$1,117.11	$1,861.68	$2,469.50
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