Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,481.31 / $2,747.00 / $7,920.26	Facility		$1,481.31	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.75 / $1,673.33 / $1,884.00	Professional		$1,174.75	$1,673.33	$1,884.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.97 / $1,710.72 / $2,358.48	Facility		$1,096.97	$1,710.72	$2,358.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,069.29 / $1,431.06 / $1,509.60	Facility		$1,069.29	$1,431.06	$1,509.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.97 / $1,805.25 / $2,358.48	Facility		$1,096.97	$1,805.25	$2,358.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,934.13 / $3,934.13 / $3,934.13	Facility		$3,934.13	$3,934.13	$3,934.13
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