Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $7,943.28	Facility		$1,584.89	$2,089.30	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,995.26	Professional		$1,148.15	$1,479.11	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,380.38 / $2,818.38	Facility		$812.83	$1,380.38	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,621.81	Facility		$1,174.90	$1,548.82	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,995.26	Facility		$812.83	$1,122.02	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $20,417.38 / $24,547.09	Facility		$14,791.08	$20,417.38	$24,547.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $28,840.32	Facility		$1,995.26	$10,232.93	$28,840.32