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 $2,421.78 / $3,492.29 / $3,977.03	Professional		$2,421.78	$3,492.29	$3,977.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,815.82 / $3,167.73 / $4,810.64	Facility		$1,815.82	$3,167.73	$4,810.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,970.80 / $2,794.23 / $3,035.10	Facility		$1,970.80	$2,794.23	$3,035.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,237.51 / $3,638.39 / $9,325.04	Facility		$2,237.51	$3,638.39	$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