Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,203.88 / $7,920.26 / $20,400.00	Facility		$2,203.88	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,579.78 / $2,265.84 / $2,551.11	Professional		$1,579.78	$2,265.84	$2,551.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,476.98 / $2,126.02 / $3,175.51	Facility		$1,476.98	$2,126.02	$3,175.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,383.73 / $1,879.20 / $1,987.89	Facility		$1,383.73	$1,879.20	$1,987.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,476.98 / $2,372.06 / $3,175.51	Facility		$1,476.98	$2,372.06	$3,175.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,198.09 / $20,033.77 / $25,621.76	Facility		$15,198.09	$20,033.77	$25,621.76
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