Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $7,244.36 / $20,892.96	Facility		$2,398.83	$7,244.36	$20,892.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,630.27	Professional		$1,513.56	$1,995.26	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $13,803.84	Facility		$1,258.93	$2,041.74	$13,803.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,137.96	Facility		$1,513.56	$1,995.26	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,570.40	Facility		$1,096.48	$1,584.89	$2,570.40
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