Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,109.07 / $3,017.97 / $3,397.94	Professional		$2,109.07	$3,017.97	$3,397.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,815.79 / $2,794.31 / $3,903.95	Facility		$1,815.79	$2,794.31	$3,903.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,863.87 / $2,548.01 / $2,677.32	Facility		$1,863.87	$2,548.01	$2,677.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,815.79 / $3,158.98 / $3,903.95	Facility		$1,815.79	$3,158.98	$3,903.95
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