Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,943.28 / $15,848.93	Facility		$1,819.70	$7,943.28	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,290.87	Professional		$1,318.26	$1,698.24	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $3,162.28	Facility		$1,047.13	$1,659.59	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $1,819.70	Facility		$1,412.54	$1,737.80	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,238.72	Facility		$954.99	$1,348.96	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $32,359.37 / $38,904.51	Facility		$23,442.29	$32,359.37	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $45,708.82	Facility		$3,019.95	$20,892.96	$45,708.82