Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,702.89 / $9,972.00 / $20,400.00	Facility		$1,702.89	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,252.64 / $1,788.03 / $2,013.14	Professional		$1,252.64	$1,788.03	$2,013.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.71 / $1,576.54 / $2,157.98	Facility		$1,003.71	$1,576.54	$2,157.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,084.36 / $1,462.13 / $1,554.40	Facility		$1,084.36	$1,462.13	$1,554.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,003.71 / $1,869.16 / $7,952.00	Facility		$1,003.71	$1,869.16	$7,952.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $11,525.75 / $13,806.81	Facility		$8,508.06	$11,525.75	$13,806.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00