Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,112.89 / $11,652.00 / $23,856.49	Facility		$2,112.89	$11,652.00	$23,856.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,555.84 / $2,208.75 / $2,514.37	Professional		$1,555.84	$2,208.75	$2,514.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,303.01 / $1,954.08 / $2,801.47	Facility		$1,303.01	$1,954.08	$2,801.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,305.90 / $1,894.92 / $1,995.80	Facility		$1,305.90	$1,894.92	$1,995.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,303.01 / $2,139.50 / $2,801.47	Facility		$1,303.01	$2,139.50	$2,801.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00