Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $7,244.36 / $24,547.09	Facility		$1,659.59	$7,244.36	$24,547.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,041.74	Professional		$1,174.90	$1,513.56	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,445.44 / $14,791.08	Facility		$912.01	$1,445.44	$14,791.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $1,698.24	Facility		$1,318.26	$1,621.81	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,089.30	Facility		$912.01	$1,288.25	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $32,359.37 / $38,904.51	Facility		$23,442.29	$32,359.37	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $45,708.82	Facility		$3,019.95	$20,892.96	$45,708.82