Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.77 / $7,920.26 / $20,400.00	Facility		$1,736.77	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,271.11 / $1,814.85 / $2,043.34	Professional		$1,271.11	$1,814.85	$2,043.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.27 / $1,678.38 / $2,408.58	Facility		$1,120.27	$1,678.38	$2,408.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,106.10 / $1,484.89 / $1,585.22	Facility		$1,106.10	$1,484.89	$1,585.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,120.27 / $1,903.19 / $5,626.00	Facility		$1,120.27	$1,903.19	$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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00