Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.22 / $11,652.00 / $23,856.49	Facility		$1,961.22	$11,652.00	$23,856.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,411.74 / $1,996.39 / $2,272.63	Professional		$1,411.74	$1,996.39	$2,272.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,201.03 / $1,834.71 / $2,670.36	Facility		$1,201.03	$1,834.71	$2,670.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,324.14 / $1,719.76 / $1,857.91	Facility		$1,324.14	$1,719.76	$1,857.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,201.03 / $2,001.52 / $2,582.21	Facility		$1,201.03	$2,001.52	$2,582.21
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