Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,517.28 / $8,180.00 / $42,204.73	Facility		$1,517.28	$8,180.00	$42,204.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,486.83 / $2,104.73 / $2,395.96	Professional		$1,486.83	$2,104.73	$2,395.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,204.81 / $1,871.28 / $2,611.25	Facility		$1,204.81	$1,871.28	$2,611.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,379.37 / $1,811.23 / $1,940.72	Facility		$1,379.37	$1,811.23	$1,940.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,204.81 / $2,152.44 / $2,590.34	Facility		$1,204.81	$2,152.44	$2,590.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,928.40 / $58,697.58 / $69,447.28	Facility		$44,928.40	$58,697.58	$69,447.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $30,636.00 / $55,640.00	Facility		$3,960.00	$30,636.00	$55,640.00