Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,032.82 / $5,649.00 / $15,341.00	Facility		$2,032.82	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,494.75 / $1,848.06 / $2,233.90	Professional		$1,494.75	$1,848.06	$2,233.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,092.01 / $1,387.50 / $2,541.69	Facility		$1,092.01	$1,387.50	$2,541.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,277.63 / $1,733.13 / $1,882.70	Facility		$1,277.63	$1,733.13	$1,882.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,153.83 / $1,899.15 / $4,681.00	Facility		$1,153.83	$1,899.15	$4,681.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,115.96 / $14,408.62	Facility		$8,391.79	$11,115.96	$14,408.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00