Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,316.66 / $7,920.26 / $20,400.00	Facility		$2,316.66	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,730.83 / $2,494.21 / $2,836.47	Professional		$1,730.83	$2,494.21	$2,836.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,402.85 / $2,304.17 / $3,473.45	Facility		$1,402.85	$2,304.17	$3,473.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,492.74 / $2,031.81 / $2,202.42	Facility		$1,492.74	$2,031.81	$2,202.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,615.56 / $2,634.93 / $7,952.00	Facility		$1,615.56	$2,634.93	$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