Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.60 / $13,042.97 / $26,636.38	Facility		$2,616.60	$13,042.97	$26,636.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,955.46 / $2,815.56 / $3,195.87	Professional		$1,955.46	$2,815.56	$3,195.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,655.16 / $2,615.71 / $3,915.92	Facility		$1,655.16	$2,615.71	$3,915.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,695.27 / $2,324.23 / $2,489.05	Facility		$1,695.27	$2,324.23	$2,489.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,821.36 / $2,985.66 / $9,325.04	Facility		$1,821.36	$2,985.66	$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