Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,876.68 / $9,972.00 / $20,400.00	Facility		$1,876.68	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.50 / $2,129.85 / $2,415.80	Professional		$1,479.50	$2,129.85	$2,415.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,281.80 / $1,983.47 / $2,945.61	Facility		$1,281.80	$1,983.47	$2,945.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,283.93 / $1,752.78 / $1,869.32	Facility		$1,283.93	$1,752.78	$1,869.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,370.05 / $2,263.94 / $7,952.00	Facility		$1,370.05	$2,263.94	$7,952.00
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 / $22,956.00	Facility		$2,912.00	$17,192.00	$22,956.00