Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,445.69 / $12,274.80 / $38,180.33	Facility		$2,445.69	$12,274.80	$38,180.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.75 / $3,077.86 / $3,493.63	Professional		$2,137.75	$3,077.86	$3,493.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,810.03 / $2,862.14 / $4,275.02	Facility		$1,810.03	$2,862.14	$4,275.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,850.31 / $2,543.98 / $2,728.84	Facility		$1,850.31	$2,543.98	$2,728.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,988.38 / $3,264.30 / $9,325.04	Facility		$1,988.38	$3,264.30	$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