Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,128.61 / $81,283.05	Facility		$1,862.09	$5,128.61	$81,283.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,995.26	Professional		$1,148.15	$1,513.56	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,412.54 / $7,943.28	Facility		$812.83	$1,412.54	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $1,698.24	Facility		$1,174.90	$1,621.81	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,137.96	Facility		$812.83	$1,148.15	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79,432.82 / $102,329.30 / $125,892.54	Facility		$79,432.82	$102,329.30	$125,892.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $51,286.14 / $134,896.29	Facility		$4,265.80	$51,286.14	$134,896.29