Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $15,848.93	Facility		$1,995.26	$2,511.89	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,398.83	Professional		$1,380.38	$1,819.70	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $3,467.37	Facility		$1,071.52	$1,584.89	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $1,995.26	Facility		$1,445.44	$1,862.09	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,398.83	Facility		$1,047.13	$1,412.54	$2,398.83
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