Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,814.63 / $8,878.56 / $20,400.00	Facility		$1,814.63	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,294.08 / $1,864.28 / $2,118.91	Professional		$1,294.08	$1,864.28	$2,118.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,075.92 / $1,725.24 / $2,588.21	Facility		$1,075.92	$1,725.24	$2,588.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,125.49 / $1,528.77 / $1,637.44	Facility		$1,125.49	$1,528.77	$1,637.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,203.82 / $1,966.68 / $6,246.00	Facility		$1,203.82	$1,966.68	$6,246.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
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