Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,595.79 / $8,878.56 / $20,400.00	Facility		$2,595.79	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,860.66 / $2,300.46 / $2,775.72	Professional		$1,860.66	$2,300.46	$2,775.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,396.34 / $1,780.36 / $3,284.03	Facility		$1,396.34	$1,780.36	$3,284.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,631.31 / $2,206.69 / $2,371.16	Facility		$1,631.31	$2,206.69	$2,371.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,471.73 / $2,427.83 / $7,339.00	Facility		$1,471.73	$2,427.83	$7,339.00
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