Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,294.00 / $8,878.56 / $20,400.00	Facility		$2,294.00	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,574.34 / $1,946.46 / $2,341.10	Professional		$1,574.34	$1,946.46	$2,341.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,177.70 / $1,521.20 / $2,891.57	Facility		$1,177.70	$1,521.20	$2,891.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,434.91 / $1,917.84 / $2,089.64	Facility		$1,434.91	$1,917.84	$2,089.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,322.17 / $2,144.10 / $7,339.00	Facility		$1,322.17	$2,144.10	$7,339.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
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