Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,976.68 / $8,878.56 / $20,400.00	Facility		$1,976.68	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,417.37 / $1,752.38 / $2,110.36	Professional		$1,417.37	$1,752.38	$2,110.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,060.84 / $1,347.90 / $2,485.23	Facility		$1,060.84	$1,347.90	$2,485.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,166.90 / $1,666.32 / $1,809.67	Facility		$1,166.90	$1,666.32	$1,809.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,131.13 / $1,830.17 / $7,339.00	Facility		$1,131.13	$1,830.17	$7,339.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00