Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $7,943.28	Facility		$1,862.09	$2,398.83	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,344.23	Professional		$1,348.96	$1,778.28	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $3,235.94	Facility		$1,047.13	$1,698.24	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $1,862.09	Facility		$1,445.44	$1,819.70	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,290.87	Facility		$1,047.13	$1,380.38	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $29,512.09 / $37,153.52	Facility		$22,908.68	$29,512.09	$37,153.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $40,738.03	Facility		$2,884.03	$17,782.79	$40,738.03