Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,779.50 / $2,747.00 / $7,920.26	Facility		$1,779.50	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,400.65 / $1,977.65 / $2,251.29	Professional		$1,400.65	$1,977.65	$2,251.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,180.55 / $1,820.91 / $2,663.88	Facility		$1,180.55	$1,820.91	$2,663.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,310.57 / $1,706.24 / $1,841.83	Facility		$1,310.57	$1,706.24	$1,841.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,180.55 / $1,967.39 / $2,663.88	Facility		$1,180.55	$1,967.39	$2,663.88
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