Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,732.43 / $7,920.26 / $20,400.00	Facility		$1,732.43	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,510.79 / $2,174.10 / $2,464.35	Professional		$1,510.79	$2,174.10	$2,464.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,351.68 / $2,045.23 / $3,028.23	Facility		$1,351.68	$2,045.23	$3,028.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,352.72 / $1,816.37 / $1,923.72	Facility		$1,352.72	$1,816.37	$1,923.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,408.48 / $2,347.23 / $9,325.04	Facility		$1,408.48	$2,347.23	$9,325.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$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