Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,668.94 / $7,920.26 / $20,400.00	Facility		$2,668.94	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,945.44 / $2,405.27 / $2,906.25	Professional		$1,945.44	$2,405.27	$2,906.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.01 / $1,979.83 / $3,220.16	Facility		$1,462.01	$1,979.83	$3,220.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,671.27 / $2,245.34 / $2,525.23	Facility		$1,671.27	$2,245.34	$2,525.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,566.07 / $2,662.00 / $5,852.00	Facility		$1,566.07	$2,662.00	$5,852.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00