Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,031.72 / $9,972.00 / $20,400.00	Facility		$2,031.72	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,482.80 / $2,111.92 / $2,377.81	Professional		$1,482.80	$2,111.92	$2,377.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,205.27 / $1,879.62 / $2,591.33	Facility		$1,205.27	$1,879.62	$2,591.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,299.91 / $1,751.47 / $1,849.20	Facility		$1,299.91	$1,751.47	$1,849.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,205.27 / $2,233.53 / $7,952.00	Facility		$1,205.27	$2,233.53	$7,952.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $19,093.02	Facility		$1,981.00	$9,529.00	$19,093.02