Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $13,182.57	Facility		$1,905.46	$2,454.71	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,344.23	Professional		$1,348.96	$1,778.28	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,621.81 / $3,311.31	Facility		$954.99	$1,621.81	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $1,905.46	Facility		$1,348.96	$1,819.70	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,344.23	Facility		$977.24	$1,412.54	$2,344.23
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