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 $2,253.54 / $3,250.81 / $3,707.49	Professional		$2,253.54	$3,250.81	$3,707.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,637.84 / $2,943.66 / $4,597.50	Facility		$1,637.84	$2,943.66	$4,597.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,939.94 / $2,617.69 / $2,863.58	Facility		$1,939.94	$2,617.69	$2,863.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,138.37 / $3,421.25 / $9,325.04	Facility		$2,138.37	$3,421.25	$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