Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $21,877.62	Facility		$3,162.28	$4,073.80	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $3,981.07	Professional		$2,290.87	$3,019.95	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,754.23 / $5,495.41	Facility		$1,584.89	$2,754.23	$5,495.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $3,162.28	Facility		$2,238.72	$2,951.21	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,801.89	Facility		$1,621.81	$2,344.23	$3,801.89
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