Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,901.91 / $7,920.26 / $20,400.00	Facility		$1,901.91	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,397.87 / $2,018.35 / $2,272.46	Professional		$1,397.87	$2,018.35	$2,272.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,093.35 / $1,733.86 / $2,475.48	Facility		$1,093.35	$1,733.86	$2,475.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,239.21 / $1,672.32 / $1,809.67	Facility		$1,239.21	$1,672.32	$1,809.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,151.39 / $2,088.28 / $5,626.00	Facility		$1,151.39	$2,088.28	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00