Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,585.54 / $10,180.24 / $20,400.00	Facility		$2,585.54	$10,180.24	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,841.23 / $2,648.88 / $3,000.68	Professional		$1,841.23	$2,648.88	$3,000.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,641.56 / $2,474.04 / $3,668.50	Facility		$1,641.56	$2,474.04	$3,668.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,609.99 / $2,190.98 / $2,355.52	Facility		$1,609.99	$2,190.98	$2,355.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,706.28 / $2,820.42 / $7,952.00	Facility		$1,706.28	$2,820.42	$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