Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,943.28 / $15,848.93	Facility		$1,862.09	$7,943.28	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,290.87	Professional		$1,318.26	$1,737.80	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $7,943.28	Facility		$1,122.02	$1,737.80	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $1,862.09	Facility		$1,412.54	$1,778.28	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,290.87	Facility		$954.99	$1,380.38	$2,290.87
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