Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $11,481.54 / $13,803.84	Facility		$1,584.89	$11,481.54	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,621.81 / $1,995.26	Professional		$724.44	$1,621.81	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $11,481.54	Facility		$1,000.00	$1,479.11	$11,481.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,584.89	Facility		$1,148.15	$1,513.56	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,949.84	Facility		$912.01	$1,148.15	$1,949.84
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