Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.02 / $7,413.00 / $20,400.00	Facility		$1,773.02	$7,413.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,271.82 / $1,791.63 / $2,039.53	Professional		$1,271.82	$1,791.63	$2,039.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,085.72 / $1,667.73 / $2,334.30	Facility		$1,085.72	$1,667.73	$2,334.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,167.16 / $1,549.30 / $1,624.75	Facility		$1,167.16	$1,549.30	$1,624.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,085.72 / $1,809.35 / $2,265.87	Facility		$1,085.72	$1,809.35	$2,265.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,064.41 / $32,519.04 / $41,745.49	Facility		$15,064.41	$32,519.04	$41,745.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00