Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,804.22 / $12,274.80 / $21,735.00	Facility		$1,804.22	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,286.60 / $1,853.61 / $2,106.96	Professional		$1,286.60	$1,853.61	$2,106.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,065.54 / $1,707.11 / $2,572.84	Facility		$1,065.54	$1,707.11	$2,572.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,118.23 / $1,515.67 / $1,626.09	Facility		$1,118.23	$1,515.67	$1,626.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,196.67 / $1,958.58 / $9,325.04	Facility		$1,196.67	$1,958.58	$9,325.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,751.18	Facility		$7,382.73	$9,721.75	$12,751.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00