Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,872.07 / $12,594.69 / $21,735.00	Facility		$2,872.07	$12,594.69	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,071.19 / $2,951.17 / $3,322.72	Professional		$2,071.19	$2,951.17	$3,322.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,515.28 / $2,525.30 / $3,657.05	Facility		$1,515.28	$2,525.30	$3,657.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,830.44 / $2,508.65 / $2,630.42	Facility		$1,830.44	$2,508.65	$2,630.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,515.28 / $2,872.70 / $3,348.31	Facility		$1,515.28	$2,872.70	$3,348.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $31,052.21 / $38,534.69	Facility		$23,713.19	$31,052.21	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00