Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,272.05 / $2,816.83 / $7,920.26	Facility		$2,272.05	$2,816.83	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,855.39 / $2,641.62 / $2,974.20	Professional		$1,855.39	$2,641.62	$2,974.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,277.64 / $2,448.14 / $3,613.01	Facility		$1,277.64	$2,448.14	$3,613.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,500.23 / $2,175.26 / $2,345.67	Facility		$1,500.23	$2,175.26	$2,345.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,680.47 / $2,620.69 / $3,267.37	Facility		$1,680.47	$2,620.69	$3,267.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,107.92 / $6,107.92 / $6,107.92	Facility		$6,107.92	$6,107.92	$6,107.92
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