Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $8,128.31 / $56,234.13	Facility		$1,513.56	$8,128.31	$56,234.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,862.09 / $2,344.23	Professional		$831.76	$1,862.09	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $20,417.38	Facility		$1,202.26	$1,862.09	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $1,905.46	Facility		$1,513.56	$1,819.70	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,344.23	Facility		$954.99	$1,412.54	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,668.36 / $58,884.37 / $72,443.60	Facility		$44,668.36	$58,884.37	$72,443.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $35,481.34 / $79,432.82	Facility		$3,981.07	$35,481.34	$79,432.82