Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $13,803.84 / $25,703.96	Facility		$2,454.71	$13,803.84	$25,703.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $3,090.30	Professional		$1,778.28	$2,290.87	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $14,454.40	Facility		$1,479.11	$2,290.87	$14,454.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $2,454.71	Facility		$1,862.09	$2,398.83	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $3,019.95	Facility		$1,318.26	$1,862.09	$3,019.95
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 $3,019.95 / $20,892.96 / $45,708.82	Facility		$3,019.95	$20,892.96	$45,708.82