Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,815.41 / $8,878.56 / $20,400.00	Facility		$1,815.41	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,294.64 / $1,865.05 / $2,119.77	Professional		$1,294.64	$1,865.05	$2,119.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,076.74 / $1,728.17 / $2,590.41	Facility		$1,076.74	$1,728.17	$2,590.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,125.49 / $1,527.46 / $1,641.50	Facility		$1,125.49	$1,527.46	$1,641.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,204.83 / $1,971.54 / $6,246.00	Facility		$1,204.83	$1,971.54	$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