Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,771.54 / $9,972.00 / $20,400.00	Facility		$2,771.54	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,166.78 / $3,124.65 / $3,558.51	Professional		$2,166.78	$3,124.65	$3,558.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,533.01 / $2,885.84 / $4,531.89	Facility		$1,533.01	$2,885.84	$4,531.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,830.84 / $2,585.29 / $2,767.60	Facility		$1,830.84	$2,585.29	$2,767.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,107.86 / $3,385.57 / $7,952.00	Facility		$2,107.86	$3,385.57	$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 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00