Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,136.96 / $7,920.26 / $21,926.42	Facility		$2,136.96	$7,920.26	$21,926.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,684.59 / $2,429.26 / $2,763.20	Professional		$1,684.59	$2,429.26	$2,763.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,340.25 / $2,223.53 / $3,370.00	Facility		$1,340.25	$2,223.53	$3,370.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,446.72 / $1,966.97 / $2,129.08	Facility		$1,446.72	$1,966.97	$2,129.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,567.44 / $2,547.44 / $7,952.00	Facility		$1,567.44	$2,547.44	$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