Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $15,848.93	Facility		$1,862.09	$2,344.23	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,344.23	Professional		$1,348.96	$1,737.80	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $3,162.28	Facility		$1,122.02	$1,584.89	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $1,862.09	Facility		$1,380.38	$1,778.28	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,238.72	Facility		$1,000.00	$1,348.96	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $23,442.29	Facility		$1,995.26	$10,232.93	$23,442.29