Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $21,877.62	Facility		$3,388.44	$4,365.16	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $4,265.80	Professional		$2,454.71	$3,235.94	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $5,754.40	Facility		$1,698.24	$2,951.21	$5,754.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $3,388.44	Facility		$2,344.23	$3,162.28	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $4,168.69	Facility		$1,737.80	$2,454.71	$4,168.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96