Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $13,182.57	Facility		$1,698.24	$2,238.72	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,290.87	Professional		$1,412.54	$1,819.70	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,479.11 / $3,090.30	Facility		$912.01	$1,479.11	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $1,819.70	Facility		$1,288.25	$1,698.24	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,288.25 / $2,290.87	Facility		$870.96	$1,288.25	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $7,413.10	Facility		$4,897.79	$6,165.95	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50