Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.05 / $12,274.80 / $21,735.00	Facility		$3,388.05	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,697.28 / $3,887.55 / $4,418.29	Professional		$2,697.28	$3,887.55	$4,418.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,015.67 / $3,541.80 / $5,333.51	Facility		$2,015.67	$3,541.80	$5,333.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,212.98 / $3,117.15 / $3,374.79	Facility		$2,212.98	$3,117.15	$3,374.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,480.69 / $4,041.50 / $9,325.04	Facility		$2,480.69	$4,041.50	$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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00