Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,943.28 / $38,018.94	Facility		$2,691.53	$7,943.28	$38,018.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,311.31	Professional		$1,905.46	$2,511.89	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $4,677.35	Facility		$1,621.81	$2,344.23	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $2,691.53	Facility		$2,089.30	$2,570.40	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $3,235.94	Facility		$1,380.38	$1,995.26	$3,235.94
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