Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,257.89 / $9,972.00 / $20,400.00	Facility		$2,257.89	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,648.50 / $2,351.12 / $2,647.12	Professional		$1,648.50	$2,351.12	$2,647.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,449.98 / $2,181.53 / $3,139.15	Facility		$1,449.98	$2,181.53	$3,139.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,436.06 / $1,948.36 / $2,056.90	Facility		$1,436.06	$1,948.36	$2,056.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,460.07 / $2,276.98 / $2,746.26	Facility		$1,460.07	$2,276.98	$2,746.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49,533.96 / $65,887.53 / $75,513.42	Facility		$49,533.96	$65,887.53	$75,513.42
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00