Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,055.57 / $7,920.26 / $20,400.00	Facility		$2,055.57	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,496.98 / $2,147.66 / $2,418.05	Professional		$1,496.98	$2,147.66	$2,418.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,274.28 / $1,912.72 / $2,739.70	Facility		$1,274.28	$1,912.72	$2,739.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,298.46 / $1,762.61 / $1,893.42	Facility		$1,298.46	$1,762.61	$1,893.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,274.28 / $2,123.59 / $2,739.70	Facility		$1,274.28	$2,123.59	$2,739.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00