Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,551.96 / $12,274.80 / $21,735.00	Facility		$2,551.96	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,858.95 / $2,645.77 / $2,978.87	Professional		$1,858.95	$2,645.77	$2,978.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,515.68 / $2,363.69 / $3,258.71	Facility		$1,515.68	$2,363.69	$3,258.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,632.28 / $2,217.03 / $2,317.44	Facility		$1,632.28	$2,217.03	$2,317.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,515.68 / $2,566.55 / $3,258.71	Facility		$1,515.68	$2,566.55	$3,258.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $31,052.21 / $38,534.69	Facility		$23,713.19	$31,052.21	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00