Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $19,054.61 / $47,863.01	Facility		$2,630.27	$19,054.61	$47,863.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,235.94	Professional		$1,862.09	$2,454.71	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $20,417.38	Facility		$1,584.89	$2,511.89	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $2,630.27	Facility		$1,949.84	$2,570.40	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,162.28	Facility		$1,318.26	$1,819.70	$3,162.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96