Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $7,943.28	Facility		$1,258.93	$1,949.84	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,479.11 / $2,137.96	Professional		$933.25	$1,479.11	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,258.93 / $2,041.74	Facility		$831.76	$1,258.93	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $1,737.80	Facility		$1,122.02	$1,548.82	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,905.46	Facility		$724.44	$1,122.02	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,620.87 / $22,387.21	Facility		$13,489.63	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $25,703.96	Facility		$1,995.26	$10,232.93	$25,703.96