Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,943.28 / $33,884.42	Facility		$2,951.21	$7,943.28	$33,884.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,691.53 / $3,388.44	Professional		$1,202.26	$2,691.53	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $13,182.57	Facility		$1,698.24	$2,511.89	$13,182.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,691.53	Facility		$2,137.96	$2,570.40	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $3,311.31	Facility		$1,445.44	$2,137.96	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $36,307.81 / $45,708.82	Facility		$28,183.83	$36,307.81	$45,708.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $50,118.72	Facility		$3,019.95	$20,892.96	$50,118.72