Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,779.39 / $14,614.14 / $23,856.49	Facility		$2,779.39	$14,614.14	$23,856.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,030.24 / $2,885.29 / $3,248.55	Professional		$2,030.24	$2,885.29	$3,248.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,654.61 / $2,580.36 / $3,557.41	Facility		$1,654.61	$2,580.36	$3,557.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,787.81 / $2,424.06 / $2,530.28	Facility		$1,787.81	$2,424.06	$2,530.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,654.61 / $3,066.85 / $9,999.15	Facility		$1,654.61	$3,066.85	$9,999.15
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00