Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,910.95 / $7,920.26 / $20,400.00	Facility		$1,910.95	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,395.11 / $1,724.86 / $2,087.17	Professional		$1,395.11	$1,724.86	$2,087.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,020.46 / $1,296.58 / $2,325.11	Facility		$1,020.46	$1,296.58	$2,325.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,175.40 / $1,604.41 / $1,762.77	Facility		$1,175.40	$1,604.41	$1,762.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,049.96 / $1,716.77 / $6,437.00	Facility		$1,049.96	$1,716.77	$6,437.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
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