Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.55 / $5,649.00 / $15,341.00	Facility		$1,808.55	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,325.70 / $1,892.00 / $2,130.21	Professional		$1,325.70	$1,892.00	$2,130.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.06 / $1,742.18 / $2,481.23	Facility		$1,154.06	$1,742.18	$2,481.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,139.54 / $1,544.35 / $1,646.86	Facility		$1,139.54	$1,544.35	$1,646.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,154.06 / $1,799.76 / $2,179.79	Facility		$1,154.06	$1,799.76	$2,179.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,236.16 / $4,141.75 / $10,766.14	Facility		$2,236.16	$4,141.75	$10,766.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00