Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $13,182.57	Facility		$1,445.44	$1,819.70	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,819.70	Professional		$1,047.13	$1,380.38	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,318.26 / $2,454.71	Facility		$812.83	$1,318.26	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,445.44	Facility		$1,096.48	$1,380.38	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,698.24	Facility		$794.33	$1,023.29	$1,698.24
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