Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,943.28 / $20,417.38	Facility		$2,630.27	$7,943.28	$20,417.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $3,235.94	Professional		$1,862.09	$2,398.83	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $7,943.28	Facility		$1,445.44	$2,187.76	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,630.27	Facility		$2,137.96	$2,511.89	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,162.28	Facility		$1,348.96	$1,862.09	$3,162.28
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