Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,960.84 / $12,274.80 / $21,735.00	Facility		$2,960.84	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,153.75 / $3,076.38 / $3,463.70	Professional		$2,153.75	$3,076.38	$3,463.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,564.99 / $2,608.06 / $3,666.30	Facility		$1,564.99	$2,608.06	$3,666.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,868.23 / $2,527.19 / $2,720.20	Facility		$1,868.23	$2,527.19	$2,720.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,564.99 / $2,894.20 / $3,450.42	Facility		$1,564.99	$2,894.20	$3,450.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,957.96 / $6,957.96 / $6,957.96	Facility		$6,957.96	$6,957.96	$6,957.96
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