Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,168.54 / $9,972.00 / $20,400.00	Facility		$2,168.54	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,547.02 / $2,219.40 / $2,498.82	Professional		$1,547.02	$2,219.40	$2,498.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,136.49 / $1,890.39 / $2,559.28	Facility		$1,136.49	$1,890.39	$2,559.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,301.36 / $1,792.05 / $1,973.82	Facility		$1,301.36	$1,792.05	$1,973.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,136.49 / $2,061.92 / $2,535.69	Facility		$1,136.49	$2,061.92	$2,535.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,750.42 / $4,750.42 / $4,750.42	Facility		$4,750.42	$4,750.42	$4,750.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00