Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,729.02 / $11,377.08 / $20,400.00	Facility		$2,729.02	$11,377.08	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,312.41 / $3,333.28 / $3,793.35	Professional		$2,312.41	$3,333.28	$3,793.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,770.60 / $2,910.34 / $4,770.25	Facility		$1,770.60	$2,910.34	$4,770.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,882.77 / $2,603.62 / $2,934.60	Facility		$1,882.77	$2,603.62	$2,934.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,218.71 / $3,363.45 / $7,952.00	Facility		$2,218.71	$3,363.45	$7,952.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $24,231.00	Facility		$2,912.00	$17,192.00	$24,231.00