Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $21,877.62	Facility		$3,311.31	$4,168.69	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $4,073.80	Professional		$2,344.23	$3,090.30	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $4,897.79	Facility		$1,949.84	$2,691.53	$4,897.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $3,388.44	Facility		$2,511.89	$3,235.94	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,981.07	Facility		$1,698.24	$2,398.83	$3,981.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,762.47 / $14,791.08	Facility		$3,019.95	$7,762.47	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,128.31 / $12,882.50	Facility		$1,995.26	$8,128.31	$12,882.50