Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $11,748.98 / $16,982.44	Facility		$1,023.29	$11,748.98	$16,982.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,318.26	Professional		$758.58	$977.24	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $13,803.84	Facility		$660.69	$1,023.29	$13,803.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $977.24 / $1,023.29	Facility		$776.25	$977.24	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $776.25 / $1,230.27	Facility		$575.44	$776.25	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $12,022.64 / $14,791.08	Facility		$8,709.64	$12,022.64	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68