Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,726.64 / $4,704.00 / $8,728.00	Facility		$1,726.64	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,265.24 / $1,809.34 / $2,037.13	Professional		$1,265.24	$1,809.34	$2,037.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,025.26 / $1,598.89 / $2,204.31	Facility		$1,025.26	$1,598.89	$2,204.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,081.18 / $1,476.46 / $1,576.51	Facility		$1,081.18	$1,476.46	$1,576.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,025.26 / $1,873.53 / $2,724.00	Facility		$1,025.26	$1,873.53	$2,724.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $13,246.00 / $26,404.00	Facility		$2,155.00	$13,246.00	$26,404.00