Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,943.28 / $19,054.61	Facility		$3,019.95	$7,943.28	$19,054.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,801.89	Professional		$2,187.76	$2,884.03	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $5,128.61	Facility		$1,621.81	$2,630.27	$5,128.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $2,951.21	Facility		$2,041.74	$2,754.23	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $3,548.13	Facility		$1,513.56	$2,187.76	$3,548.13
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