Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,079.46 / $23,988.33	Facility		$1,778.28	$7,079.46	$23,988.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,187.76	Professional		$1,258.93	$1,621.81	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,479.11 / $7,943.28	Facility		$977.24	$1,479.11	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $1,778.28	Facility		$1,348.96	$1,659.59	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,089.30	Facility		$933.25	$1,258.93	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68