Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $8,317.64 / $21,877.62	Facility		$1,737.80	$8,317.64	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,137.96	Professional		$1,230.27	$1,584.89	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,445.44 / $8,317.64	Facility		$954.99	$1,445.44	$8,317.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $1,778.28	Facility		$1,258.93	$1,698.24	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,137.96	Facility		$891.25	$1,258.93	$2,137.96
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 $2,884.03 / $17,378.01 / $23,988.33	Facility		$2,884.03	$17,378.01	$23,988.33