Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,393.13 / $9,972.00 / $20,400.00	Facility		$2,393.13	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,711.43 / $2,467.42 / $2,817.28	Professional		$1,711.43	$2,467.42	$2,817.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,206.06 / $2,227.73 / $3,417.12	Facility		$1,206.06	$2,227.73	$3,417.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,366.47 / $1,963.00 / $2,145.34	Facility		$1,366.47	$1,963.00	$2,145.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,589.36 / $2,572.81 / $7,952.00	Facility		$1,589.36	$2,572.81	$7,952.00
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