Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,684.01 / $7,920.26 / $20,400.00	Facility		$2,684.01	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,945.07 / $2,788.05 / $3,139.06	Professional		$1,945.07	$2,788.05	$3,139.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.89 / $2,590.42 / $3,850.41	Facility		$1,790.89	$2,590.42	$3,850.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,708.35 / $2,327.87 / $2,460.91	Facility		$1,708.35	$2,327.87	$2,460.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,790.89 / $2,792.89 / $3,433.98	Facility		$1,790.89	$2,792.89	$3,433.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,308.45 / $6,308.45 / $6,308.45	Facility		$6,308.45	$6,308.45	$6,308.45
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