Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,988.85 / $9,972.00 / $20,400.00	Facility		$1,988.85	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,439.51 / $2,059.94 / $2,319.29	Professional		$1,439.51	$2,059.94	$2,319.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,043.53 / $1,739.04 / $2,436.17	Facility		$1,043.53	$1,739.04	$2,436.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,101.51 / $1,669.41 / $1,822.40	Facility		$1,101.51	$1,669.41	$1,822.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,043.53 / $1,945.90 / $2,322.02	Facility		$1,043.53	$1,945.90	$2,322.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,401.14 / $8,924.50 / $21,189.66	Facility		$4,401.14	$8,924.50	$21,189.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00