Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $23,988.33	Facility		$1,659.59	$2,089.30	$23,988.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,737.80 / $2,137.96	Professional		$776.25	$1,737.80	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $11,748.98	Facility		$1,122.02	$1,659.59	$11,748.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $1,698.24	Facility		$1,258.93	$1,621.81	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,187.76	Facility		$977.24	$1,445.44	$2,187.76
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