Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,595.84 / $3,172.48 / $7,920.26	Facility		$2,595.84	$3,172.48	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,174.51 / $3,108.99 / $3,500.41	Professional		$2,174.51	$3,108.99	$3,500.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,922.65 / $2,811.61 / $4,133.70	Facility		$1,922.65	$2,811.61	$4,133.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,900.71 / $2,511.44 / $2,727.57	Facility		$1,900.71	$2,511.44	$2,727.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,922.65 / $3,132.61 / $3,695.92	Facility		$1,922.65	$3,132.61	$3,695.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,883.42 / $6,883.42 / $6,883.42	Facility		$6,883.42	$6,883.42	$6,883.42
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