Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,929.09 / $9,972.00 / $20,400.00	Facility		$1,929.09	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,394.47 / $1,997.59 / $2,249.09	Professional		$1,394.47	$1,997.59	$2,249.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.36 / $1,755.04 / $2,354.73	Facility		$1,013.36	$1,755.04	$2,354.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,161.34 / $1,620.44 / $1,764.11	Facility		$1,161.34	$1,620.44	$1,764.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,013.36 / $1,997.81 / $2,354.73	Facility		$1,013.36	$1,997.81	$2,354.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,892.24 / $23,665.33 / $28,288.01	Facility		$18,892.24	$23,665.33	$28,288.01
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