Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,588.00 / $7,920.26	Facility		$2,747.00	$3,588.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,332.46 / $3,310.30 / $3,727.06	Professional		$2,332.46	$3,310.30	$3,727.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,188.02 / $3,375.41 / $4,704.24	Facility		$2,188.02	$3,375.41	$4,704.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,079.91 / $2,841.36 / $3,028.04	Facility		$2,079.91	$2,841.36	$3,028.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,188.02 / $3,596.39 / $4,704.24	Facility		$2,188.02	$3,596.39	$4,704.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,857.61 / $7,857.61 / $7,857.61	Facility		$7,857.61	$7,857.61	$7,857.61
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