Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $15,848.93	Facility		$1,584.89	$2,041.74	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,995.26	Professional		$1,148.15	$1,513.56	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,137.96	Facility		$870.96	$1,230.27	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,621.81	Facility		$1,096.48	$1,479.11	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,862.09	Facility		$776.25	$1,096.48	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,715.19 / $21,379.62	Facility		$3,981.07	$10,715.19	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,748.98 / $26,302.68	Facility		$2,137.96	$11,748.98	$26,302.68