Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $7,244.36 / $16,218.10	Facility		$1,071.52	$7,244.36	$16,218.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,905.46	Professional		$1,096.48	$1,445.44	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,412.54 / $10,232.93	Facility		$831.76	$1,412.54	$10,232.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,584.89	Facility		$1,148.15	$1,513.56	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,949.84	Facility		$724.44	$1,071.52	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $15,848.93 / $19,054.61	Facility		$12,022.64	$15,848.93	$19,054.61
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