Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $21,877.62	Facility		$2,511.89	$3,235.94	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,238.72 / $2,570.40	Professional		$1,122.02	$2,238.72	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,388.44	Facility		$1,258.93	$1,949.84	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $2,511.89	Facility		$1,819.70	$2,344.23	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,019.95	Facility		$1,258.93	$1,949.84	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $13,803.84 / $16,595.87	Facility		$10,715.19	$13,803.84	$16,595.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33