Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,444.14 / $7,920.26	Facility		$2,747.00	$4,444.14	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,881.09 / $4,139.37 / $4,674.26	Professional		$2,881.09	$4,139.37	$4,674.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,063.03 / $3,916.23 / $5,897.41	Facility		$2,063.03	$3,916.23	$5,897.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,304.56 / $3,478.15 / $3,622.69	Facility		$2,304.56	$3,478.15	$3,622.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,742.98 / $4,277.68 / $5,200.95	Facility		$2,742.98	$4,277.68	$5,200.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,550.54 / $9,550.54 / $9,550.54	Facility		$9,550.54	$9,550.54	$9,550.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00