Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,288.67 / $12,274.80 / $21,735.00	Facility		$3,288.67	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,636.10 / $3,762.33 / $4,236.01	Professional		$2,636.10	$3,762.33	$4,236.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,257.57 / $3,503.18 / $4,853.78	Facility		$2,257.57	$3,503.18	$4,853.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,328.02 / $3,131.56 / $3,350.67	Facility		$2,328.02	$3,131.56	$3,350.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,257.57 / $3,675.38 / $4,612.26	Facility		$2,257.57	$3,675.38	$4,612.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,037.15 / $8,092.14 / $14,622.56	Facility		$3,037.15	$8,092.14	$14,622.56
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