Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,557.17 / $7,920.26 / $20,400.00	Facility		$2,557.17	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,860.22 / $2,299.91 / $2,774.36	Professional		$1,860.22	$2,299.91	$2,774.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,373.30 / $1,744.90 / $3,218.31	Facility		$1,373.30	$1,744.90	$3,218.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,427.78 / $2,158.23 / $2,390.56	Facility		$1,427.78	$2,158.23	$2,390.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,451.72 / $2,375.57 / $6,437.00	Facility		$1,451.72	$2,375.57	$6,437.00
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