Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,172.23 / $12,274.80 / $21,735.00	Facility		$3,172.23	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,514.78 / $3,624.58 / $4,125.54	Professional		$2,514.78	$3,624.58	$4,125.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,915.80 / $3,298.44 / $5,001.97	Facility		$1,915.80	$3,298.44	$5,001.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.13 / $2,910.82 / $3,168.43	Facility		$2,137.13	$2,910.82	$3,168.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,326.50 / $3,789.36 / $9,325.04	Facility		$2,326.50	$3,789.36	$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