Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,962.75 / $2,747.00 / $7,920.26	Facility		$1,962.75	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.09 / $2,261.26 / $2,545.94	Professional		$1,584.09	$2,261.26	$2,545.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,394.87 / $2,092.38 / $3,128.34	Facility		$1,394.87	$2,092.38	$3,128.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,408.93 / $1,887.60 / $2,024.74	Facility		$1,408.93	$1,887.60	$2,024.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,455.04 / $2,269.13 / $2,793.46	Facility		$1,455.04	$2,269.13	$2,793.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,174.52 / $5,174.52 / $5,174.52	Facility		$5,174.52	$5,174.52	$5,174.52
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