Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,550.19 / $5,116.62 / $11,995.20	Facility		$1,550.19	$5,116.62	$11,995.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,134.21 / $1,628.90 / $1,833.97	Professional		$1,134.21	$1,628.90	$1,833.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $998.39 / $1,439.16 / $2,146.54	Facility		$998.39	$1,439.16	$2,146.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $967.57 / $1,316.90 / $1,425.76	Facility		$967.57	$1,316.90	$1,425.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $998.39 / $1,556.99 / $1,908.59	Facility		$998.39	$1,556.99	$1,908.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,361.49 / $28,843.00 / $37,026.47	Facility		$13,361.49	$28,843.00	$37,026.47
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