Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,943.28 / $33,884.42	Facility		$2,884.03	$7,943.28	$33,884.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,630.27 / $3,235.94	Professional		$1,174.90	$2,630.27	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $13,182.57	Facility		$1,659.59	$2,454.71	$13,182.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $2,630.27	Facility		$2,089.30	$2,511.89	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $3,311.31	Facility		$1,412.54	$2,041.74	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,197.01 / $22,387.21	Facility		$13,803.84	$18,197.01	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68