Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $23,988.33	Facility		$1,096.48	$1,412.54	$23,988.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,412.54	Professional		$794.33	$1,047.13	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $933.25 / $1,995.26	Facility		$549.54	$933.25	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,148.15	Facility		$870.96	$1,071.52	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $1,348.96	Facility		$549.54	$794.33	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $36,307.81 / $45,708.82	Facility		$28,183.83	$36,307.81	$45,708.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $52,480.75	Facility		$3,311.31	$26,302.68	$52,480.75