Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $15,848.93	Facility		$1,949.84	$2,454.71	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,344.23	Professional		$1,380.38	$1,778.28	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $3,311.31	Facility		$1,047.13	$1,548.82	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $1,949.84	Facility		$1,412.54	$1,819.70	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,238.72	Facility		$1,023.29	$1,348.96	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,128.31 / $12,882.50	Facility		$1,995.26	$8,128.31	$12,882.50