Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $7,943.28	Facility		$1,659.59	$2,089.30	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,137.96	Professional		$1,230.27	$1,621.81	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,479.11 / $2,511.89	Facility		$812.83	$1,479.11	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,698.24	Facility		$1,202.26	$1,621.81	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,995.26	Facility		$794.33	$1,174.90	$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