Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $21,877.62	Facility		$2,344.23	$2,951.21	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,884.03	Professional		$1,659.59	$2,187.76	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $3,981.07	Facility		$1,412.54	$2,041.74	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,290.87	Facility		$1,905.46	$2,238.72	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,818.38	Facility		$1,258.93	$1,698.24	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $32,359.37 / $38,904.51	Facility		$23,442.29	$32,359.37	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $52,480.75	Facility		$3,311.31	$26,302.68	$52,480.75