Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,893.32 / $5,649.00 / $15,341.00	Facility		$2,893.32	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,323.56 / $3,322.01 / $3,740.25	Professional		$2,323.56	$3,322.01	$3,740.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,680.99 / $2,801.37 / $3,906.96	Facility		$1,680.99	$2,801.37	$3,906.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,957.55 / $2,733.31 / $2,945.32	Facility		$1,957.55	$2,733.31	$2,945.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,680.99 / $3,137.80 / $3,738.74	Facility		$1,680.99	$3,137.80	$3,738.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00