Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,072.60 / $15,341.00	Facility		$2,747.00	$6,072.60	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.10 / $1,474.86 / $1,474.86	Professional		$798.10	$1,474.86	$1,474.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,121.50 / $2,778.39 / $3,085.81	Professional		$2,121.50	$2,778.39	$3,085.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,474.86 / $1,548.60 / $3,170.95	Facility		$1,474.86	$1,548.60	$3,170.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,044.39 / $3,269.53 / $4,657.96	Facility		$2,044.39	$3,269.53	$4,657.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,474.86 / $1,622.35 / $3,170.95	Facility		$1,474.86	$1,622.35	$3,170.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,700.30 / $16,067.82 / $20,492.86	Facility		$12,700.30	$16,067.82	$20,492.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,133.26 / $3,024.80 / $4,282.18	Professional		$2,133.26	$3,024.80	$4,282.18