Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,971.30 / $2,747.00 / $7,920.26	Facility		$1,971.30	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,554.36 / $2,194.52 / $2,498.17	Professional		$1,554.36	$2,194.52	$2,498.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,307.44 / $2,025.15 / $2,938.78	Facility		$1,307.44	$2,025.15	$2,938.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,449.62 / $1,893.49 / $2,032.11	Facility		$1,449.62	$1,893.49	$2,032.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,307.44 / $2,178.85 / $2,938.78	Facility		$1,307.44	$2,178.85	$2,938.78
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