Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,533.32 / $7,920.26 / $20,400.00	Facility		$2,533.32	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,825.96 / $2,616.48 / $2,945.90	Professional		$1,825.96	$2,616.48	$2,945.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,697.76 / $2,460.91 / $3,650.18	Facility		$1,697.76	$2,460.91	$3,650.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,549.58 / $2,159.94 / $2,294.08	Facility		$1,549.58	$2,159.94	$2,294.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,697.76 / $2,647.66 / $3,227.57	Facility		$1,697.76	$2,647.66	$3,227.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,404.91 / $7,242.75 / $16,393.18	Facility		$3,404.91	$7,242.75	$16,393.18
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