Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,400.25 / $8,878.56 / $20,400.00	Facility		$2,400.25	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,733.04 / $2,445.82 / $2,784.25	Professional		$1,733.04	$2,445.82	$2,784.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,461.50 / $2,265.27 / $3,265.52	Facility		$1,461.50	$2,265.27	$3,265.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,625.98 / $2,111.16 / $2,280.04	Facility		$1,625.98	$2,111.16	$2,280.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,461.50 / $2,435.59 / $3,265.52	Facility		$1,461.50	$2,435.59	$3,265.52
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