Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,711.62 / $12,274.80 / $21,735.00	Facility		$2,711.62	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,377.53 / $3,428.79 / $3,906.28	Professional		$2,377.53	$3,428.79	$3,906.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,757.02 / $3,108.95 / $4,739.83	Facility		$1,757.02	$3,108.95	$4,739.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,003.82 / $2,745.10 / $2,983.16	Facility		$2,003.82	$2,745.10	$2,983.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,204.57 / $3,580.58 / $9,325.04	Facility		$2,204.57	$3,580.58	$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 / $17,192.00 / $24,231.00	Facility		$2,912.00	$17,192.00	$24,231.00