Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,398.83 / $7,943.28	Facility		$1,318.26	$2,398.83	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,041.74 / $2,511.89	Professional		$912.01	$2,041.74	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,818.38	Facility		$1,318.26	$1,862.09	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,041.74	Facility		$1,584.89	$1,905.46	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,570.40	Facility		$1,148.15	$1,698.24	$2,570.40
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