Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.29 / $12,274.80 / $21,735.00	Facility		$1,594.29	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.61 / $1,640.71 / $1,861.34	Professional		$1,139.61	$1,640.71	$1,861.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,007.28 / $1,542.80 / $2,280.19	Facility		$1,007.28	$1,542.80	$2,280.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $985.59 / $1,366.13 / $1,447.04	Facility		$985.59	$1,366.13	$1,447.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,060.56 / $1,767.42 / $9,325.04	Facility		$1,060.56	$1,767.42	$9,325.04
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00