Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,670.25 / $4,962.67 / $15,341.00	Facility		$1,670.25	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,460.54 / $2,097.89 / $2,404.27	Professional		$1,460.54	$2,097.89	$2,404.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $926.05 / $1,868.51 / $2,919.55	Facility		$926.05	$1,868.51	$2,919.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,139.54 / $1,661.36 / $1,823.07	Facility		$1,139.54	$1,661.36	$1,823.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,357.93 / $2,188.98 / $3,274.00	Facility		$1,357.93	$2,188.98	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00