Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,393.87 / $7,920.26	Facility		$2,747.00	$3,393.87	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,211.39 / $3,140.54 / $3,535.93	Professional		$2,211.39	$3,140.54	$3,535.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,058.44 / $3,025.91 / $4,430.76	Facility		$2,058.44	$3,025.91	$4,430.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,013.58 / $2,693.87 / $2,836.78	Facility		$2,013.58	$2,693.87	$2,836.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,060.82 / $3,213.85 / $3,992.11	Facility		$2,060.82	$3,213.85	$3,992.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,408.68 / $7,408.68 / $7,408.68	Facility		$7,408.68	$7,408.68	$7,408.68
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