Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,527.85 / $8,878.56 / $15,551.02	Facility		$1,527.85	$8,878.56	$15,551.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,116.09 / $1,591.91 / $1,792.33	Professional		$1,116.09	$1,591.91	$1,792.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,129.90 / $1,762.08 / $2,395.35	Facility		$1,129.90	$1,762.08	$2,395.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,143.45 / $1,392.93 / $1,724.48	Facility		$1,143.45	$1,392.93	$1,724.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,129.90 / $1,763.40 / $2,395.35	Facility		$1,129.90	$1,763.40	$2,395.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,740.27 / $29,241.94 / $36,485.06	Facility		$22,740.27	$29,241.94	$36,485.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00