Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $12,274.80 / $21,735.00	Facility		$3,107.00	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,263.02 / $3,264.42 / $3,722.62	Professional		$2,263.02	$3,264.42	$3,722.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,648.58 / $2,953.60 / $4,515.89	Facility		$1,648.58	$2,953.60	$4,515.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,890.65 / $2,602.31 / $2,839.46	Facility		$1,890.65	$2,602.31	$2,839.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,100.42 / $3,405.52 / $9,325.04	Facility		$2,100.42	$3,405.52	$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