Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $15,848.93	Facility		$1,513.56	$1,949.84	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,905.46	Professional		$1,096.48	$1,445.44	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,995.26	Facility		$812.83	$1,148.15	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,548.82	Facility		$1,096.48	$1,412.54	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,737.80	Facility		$794.33	$1,023.29	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,715.19 / $21,379.62	Facility		$3,715.35	$10,715.19	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $15,135.61 / $23,988.33	Facility		$2,884.03	$15,135.61	$23,988.33