Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.78 / $9,972.00 / $20,400.00	Facility		$2,700.78	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,926.38 / $2,772.53 / $3,143.11	Professional		$1,926.38	$2,772.53	$3,143.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,677.75 / $2,586.48 / $3,835.77	Facility		$1,677.75	$2,586.48	$3,835.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,670.56 / $2,278.75 / $2,444.00	Facility		$1,670.56	$2,278.75	$2,444.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,784.08 / $2,945.97 / $7,952.00	Facility		$1,784.08	$2,945.97	$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 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00