Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $6,918.31 / $23,988.33	Facility		$1,258.93	$6,918.31	$23,988.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,238.72	Professional		$1,288.25	$1,698.24	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $13,803.84	Facility		$1,023.29	$1,698.24	$13,803.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $1,862.09	Facility		$1,380.38	$1,737.80	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,238.72	Facility		$977.24	$1,318.26	$2,238.72
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