Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.37 / $5,649.00 / $15,341.00	Facility		$1,791.37	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,297.04 / $1,862.33 / $2,096.79	Professional		$1,297.04	$1,862.33	$2,096.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.87 / $1,685.86 / $2,439.41	Facility		$1,013.87	$1,685.86	$2,439.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,123.56 / $1,524.84 / $1,626.09	Facility		$1,123.56	$1,524.84	$1,626.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,134.60 / $1,890.83 / $2,439.41	Facility		$1,134.60	$1,890.83	$2,439.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,761.83 / $19,243.91 / $24,411.82	Facility		$14,761.83	$19,243.91	$24,411.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $24,493.21	Facility		$1,981.00	$9,529.00	$24,493.21