Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $7,943.28 / $37,153.52	Facility		$2,754.23	$7,943.28	$37,153.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $3,467.37	Professional		$1,949.84	$2,570.40	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $4,897.79	Facility		$1,659.59	$2,454.71	$4,897.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $2,754.23	Facility		$2,041.74	$2,691.53	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,388.44	Facility		$1,479.11	$2,089.30	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,054.61 / $38,904.51	Facility		$13,489.63	$19,054.61	$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