Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,825.06 / $5,649.00 / $15,341.00	Facility		$1,825.06	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,329.09 / $1,902.34 / $2,141.84	Professional		$1,329.09	$1,902.34	$2,141.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,173.38 / $1,710.62 / $2,522.77	Facility		$1,173.38	$1,710.62	$2,522.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,145.85 / $1,591.65 / $1,686.39	Facility		$1,145.85	$1,591.65	$1,686.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,173.38 / $2,003.62 / $3,274.00	Facility		$1,173.38	$2,003.62	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,761.83 / $19,243.91 / $24,411.82	Facility		$14,761.83	$19,243.91	$24,411.82
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