Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,244.36 / $15,848.93	Facility		$1,230.27	$7,244.36	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,230.27	Professional		$707.95	$912.01	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,548.82 / $3,630.78	Facility		$630.96	$1,548.82	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,000.00 / $2,089.30	Facility		$812.83	$1,000.00	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,445.44 / $2,344.23	Facility		$575.44	$1,445.44	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $44,668.36 / $53,703.18	Facility		$33,884.42	$44,668.36	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $56,234.13	Facility		$3,311.31	$26,302.68	$56,234.13