Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $21,877.62	Facility		$1,445.44	$1,819.70	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,778.28	Professional		$1,023.29	$1,348.96	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,230.27 / $2,454.71	Facility		$724.44	$1,230.27	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,445.44	Facility		$1,096.48	$1,380.38	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,778.28	Facility		$741.31	$1,071.52	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96