Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,597.38 / $12,961.78 / $22,433.30	Facility		$2,597.38	$12,961.78	$22,433.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,938.06 / $2,785.45 / $3,146.31	Professional		$1,938.06	$2,785.45	$3,146.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,782.56 / $2,628.82 / $3,832.50	Facility		$1,782.56	$2,628.82	$3,832.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.17 / $2,313.46 / $2,449.52	Facility		$1,698.17	$2,313.46	$2,449.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,782.56 / $2,970.64 / $9,325.04	Facility		$1,782.56	$2,970.64	$9,325.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $90,940.08 / $113,915.97 / $141,768.35	Facility		$90,940.08	$113,915.97	$141,768.35
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $57,498.00 / $90,630.00	Facility		$7,425.00	$57,498.00	$90,630.00