Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $10,964.78 / $18,620.87	Facility		$1,258.93	$10,964.78	$18,620.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,862.09	Professional		$1,071.52	$1,412.54	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,445.44 / $17,782.79	Facility		$812.83	$1,445.44	$17,782.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,584.89	Facility		$1,047.13	$1,445.44	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,778.28	Facility		$707.95	$1,047.13	$1,778.28
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