Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,943.28 / $26,915.35	Facility		$2,511.89	$7,943.28	$26,915.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,019.95	Professional		$1,737.80	$2,290.87	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $13,182.57	Facility		$1,513.56	$2,290.87	$13,182.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $2,454.71	Facility		$1,862.09	$2,344.23	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,019.95	Facility		$1,258.93	$1,819.70	$3,019.95
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