Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.98 / $13,260.87 / $21,735.00	Facility		$2,220.98	$13,260.87	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,794.52 / $2,549.25 / $2,870.19	Professional		$1,794.52	$2,549.25	$2,870.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,480.64 / $2,297.26 / $3,183.38	Facility		$1,480.64	$2,297.26	$3,183.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,616.51 / $2,129.92 / $2,329.59	Facility		$1,616.51	$2,129.92	$2,329.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,480.64 / $2,460.65 / $2,983.21	Facility		$1,480.64	$2,460.65	$2,983.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,096.00 / $52,015.23 / $66,773.23	Facility		$24,096.00	$52,015.23	$66,773.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00