Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,795.26 / $11,652.00 / $23,856.49	Facility		$1,795.26	$11,652.00	$23,856.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,309.01 / $1,857.76 / $2,091.65	Professional		$1,309.01	$1,857.76	$2,091.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,083.90 / $1,549.98 / $2,330.39	Facility		$1,083.90	$1,549.98	$2,330.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,103.21 / $1,525.59 / $1,686.39	Facility		$1,103.21	$1,525.59	$1,686.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,083.90 / $1,854.22 / $2,330.39	Facility		$1,083.90	$1,854.22	$2,330.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,008.67 / $4,008.67 / $4,008.67	Facility		$4,008.67	$4,008.67	$4,008.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00