Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,299.00 / $10,180.24 / $15,978.56	Facility		$1,299.00	$10,180.24	$15,978.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,441.82 / $2,058.36 / $2,317.50	Professional		$1,441.82	$2,058.36	$2,317.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,056.09 / $1,955.33 / $2,958.22	Facility		$1,056.09	$1,955.33	$2,958.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,241.77 / $1,756.39 / $2,022.75	Facility		$1,241.77	$1,756.39	$2,022.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,056.09 / $2,165.69 / $2,562.84	Facility		$1,056.09	$2,165.69	$2,562.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $31,052.21 / $38,534.69	Facility		$23,713.19	$31,052.21	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00