Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,666.10 / $9,972.00 / $20,400.00	Facility		$2,666.10	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,890.44 / $2,723.86 / $3,092.64	Professional		$1,890.44	$2,723.86	$3,092.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,570.18 / $2,512.29 / $3,783.66	Facility		$1,570.18	$2,512.29	$3,783.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,634.47 / $2,260.58 / $2,398.36	Facility		$1,634.47	$2,260.58	$2,398.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,759.84 / $2,921.60 / $7,952.00	Facility		$1,759.84	$2,921.60	$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