Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,053.01 / $5,649.00 / $15,341.00	Facility		$2,053.01	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,500.24 / $2,137.38 / $2,406.48	Professional		$1,500.24	$2,137.38	$2,406.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,323.80 / $1,985.78 / $2,846.17	Facility		$1,323.80	$1,985.78	$2,846.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,312.51 / $1,772.43 / $1,872.65	Facility		$1,312.51	$1,772.43	$1,872.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,323.80 / $2,255.94 / $3,274.00	Facility		$1,323.80	$2,255.94	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,740.27 / $29,241.94 / $36,485.06	Facility		$22,740.27	$29,241.94	$36,485.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00