Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,254.07 / $7,920.26 / $20,400.00	Facility		$2,254.07	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,607.94 / $2,313.94 / $2,620.46	Professional		$1,607.94	$2,313.94	$2,620.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.35 / $2,192.40 / $3,243.02	Facility		$1,462.35	$2,192.40	$3,243.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,438.08 / $1,958.77 / $2,064.48	Facility		$1,438.08	$1,958.77	$2,064.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,508.38 / $2,514.07 / $3,493.36	Facility		$1,508.38	$2,514.07	$3,493.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
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