Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,755.82 / $7,920.26 / $20,400.00	Facility		$1,755.82	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,285.34 / $1,834.54 / $2,065.51	Professional		$1,285.34	$1,834.54	$2,065.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,042.84 / $1,626.32 / $2,242.13	Facility		$1,042.84	$1,626.32	$2,242.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,119.68 / $1,522.91 / $1,601.30	Facility		$1,119.68	$1,522.91	$1,601.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,042.84 / $1,926.43 / $5,626.00	Facility		$1,042.84	$1,926.43	$5,626.00
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00