Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $23,988.33	Facility		$2,570.40	$3,235.94	$23,988.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,162.28	Professional		$1,819.70	$2,398.83	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $20,417.38	Facility		$1,548.82	$2,187.76	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $2,511.89	Facility		$1,905.46	$2,454.71	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $3,090.30	Facility		$1,348.96	$1,905.46	$3,090.30
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