Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,112.46 / $7,920.26 / $20,400.00	Facility		$2,112.46	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,515.34 / $2,179.94 / $2,491.92	Professional		$1,515.34	$2,179.94	$2,491.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,111.65 / $1,868.71 / $3,138.36	Facility		$1,111.65	$1,868.71	$3,138.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,165.83 / $1,711.85 / $1,898.11	Facility		$1,165.83	$1,711.85	$1,898.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,459.70 / $2,207.44 / $5,626.00	Facility		$1,459.70	$2,207.44	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
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