Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,601.75 / $7,920.26	Facility		$2,747.00	$3,601.75	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,345.69 / $3,329.16 / $3,748.30	Professional		$2,345.69	$3,329.16	$3,748.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,443.73 / $3,185.25 / $4,699.35	Facility		$1,443.73	$3,185.25	$4,699.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,011.87 / $2,857.47 / $3,027.36	Facility		$2,011.87	$2,857.47	$3,027.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,185.75 / $3,408.68 / $4,249.43	Facility		$2,185.75	$3,408.68	$4,249.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,861.18 / $7,861.18 / $7,861.18	Facility		$7,861.18	$7,861.18	$7,861.18
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