Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,627.72 / $12,274.80 / $21,735.00	Facility		$3,627.72	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,902.41 / $4,147.54 / $4,669.71	Professional		$2,902.41	$4,147.54	$4,669.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,106.14 / $3,509.88 / $4,915.85	Facility		$2,106.14	$3,509.88	$4,915.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,519.40 / $3,415.50 / $3,673.61	Facility		$2,519.40	$3,415.50	$3,673.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,106.14 / $3,915.73 / $4,668.92	Facility		$2,106.14	$3,915.73	$4,668.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.95 / $9,397.95 / $9,397.95	Facility		$9,397.95	$9,397.95	$9,397.95
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