Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $13,182.57	Facility		$1,621.81	$2,041.74	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,041.74	Professional		$1,174.90	$1,513.56	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,754.23	Facility		$912.01	$1,479.11	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,621.81	Facility		$1,288.25	$1,548.82	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,949.84	Facility		$912.01	$1,174.90	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48,977.88 / $66,069.34 / $79,432.82	Facility		$48,977.88	$66,069.34	$79,432.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $35,481.34 / $89,125.09	Facility		$3,981.07	$35,481.34	$89,125.09