Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,547.41 / $2,747.00 / $7,920.26	Facility		$1,547.41	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,228.35 / $1,759.60 / $1,981.13	Professional		$1,228.35	$1,759.60	$1,981.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,030.70 / $1,634.25 / $2,478.19	Facility		$1,030.70	$1,634.25	$2,478.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,082.36 / $1,477.68 / $1,581.87	Facility		$1,082.36	$1,477.68	$1,581.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,152.65 / $1,797.56 / $2,166.83	Facility		$1,152.65	$1,797.56	$2,166.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,992.71 / $3,992.71 / $3,992.71	Facility		$3,992.71	$3,992.71	$3,992.71
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