Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,227.33 / $7,920.26 / $41,395.30	Facility		$2,227.33	$7,920.26	$41,395.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,666.79 / $2,401.11 / $2,727.68	Professional		$1,666.79	$2,401.11	$2,727.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,385.64 / $2,224.55 / $3,336.59	Facility		$1,385.64	$2,224.55	$3,336.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,442.36 / $1,963.69 / $2,111.40	Facility		$1,442.36	$1,963.69	$2,111.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,551.90 / $2,545.02 / $9,325.04	Facility		$1,551.90	$2,545.02	$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