Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $13,182.57	Facility		$1,071.52	$1,348.96	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,348.96	Professional		$776.25	$1,023.29	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $977.24 / $1,819.70	Facility		$602.56	$977.24	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,071.52	Facility		$851.14	$1,023.29	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $1,288.25	Facility		$602.56	$776.25	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,113.11 / $47,863.01 / $69,183.10	Facility		$33,113.11	$47,863.01	$69,183.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $57,543.99	Facility		$3,311.31	$26,302.68	$57,543.99