Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $7,943.28	Facility		$1,584.89	$1,995.26	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,995.26	Professional		$1,148.15	$1,513.56	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $2,691.53	Facility		$870.96	$1,348.96	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,584.89	Facility		$1,122.02	$1,513.56	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,905.46	Facility		$812.83	$1,071.52	$1,905.46
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 $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68