Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,943.28 / $33,884.42	Facility		$2,137.96	$7,943.28	$33,884.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,570.40	Professional		$1,479.11	$1,949.84	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,630.78	Facility		$1,258.93	$1,949.84	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,089.30	Facility		$1,584.89	$1,995.26	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,570.40	Facility		$1,071.52	$1,548.82	$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