Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,927.21 / $14,614.14 / $23,856.49	Facility		$1,927.21	$14,614.14	$23,856.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,407.42 / $1,994.83 / $2,245.96	Professional		$1,407.42	$1,994.83	$2,245.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,156.47 / $1,803.51 / $2,486.41	Facility		$1,156.47	$1,803.51	$2,486.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,212.70 / $1,641.43 / $1,805.65	Facility		$1,212.70	$1,641.43	$1,805.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,156.47 / $1,917.80 / $2,290.86	Facility		$1,156.47	$1,917.80	$2,290.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00