Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,133.30 / $9,003.85 / $13,856.92	Facility		$2,133.30	$9,003.85	$13,856.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,394.43 / $1,970.36 / $2,243.00	Professional		$1,394.43	$1,970.36	$2,243.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $854.47 / $1,636.12 / $2,459.90	Facility		$854.47	$1,636.12	$2,459.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,201.48 / $1,698.68 / $1,929.60	Facility		$1,201.48	$1,698.68	$1,929.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $854.47 / $1,754.99 / $2,459.90	Facility		$854.47	$1,754.99	$2,459.90
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 $4,252.00 / $37,152.00 / $65,339.00	Facility		$4,252.00	$37,152.00	$65,339.00