Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,720.78 / $7,920.26	Facility		$2,747.00	$3,720.78	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,423.98 / $3,447.06 / $3,881.05	Professional		$2,423.98	$3,447.06	$3,881.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,260.82 / $3,302.98 / $4,860.76	Facility		$2,260.82	$3,302.98	$4,860.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,193.82 / $2,951.82 / $3,108.80	Facility		$2,193.82	$2,951.82	$3,108.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,260.82 / $3,525.75 / $4,349.39	Facility		$2,260.82	$3,525.75	$4,349.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,070.58 / $8,070.58 / $8,070.58	Facility		$8,070.58	$8,070.58	$8,070.58
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