Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,611.49 / $2,747.00 / $7,920.26	Facility		$1,611.49	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,282.75 / $1,825.36 / $2,077.92	Professional		$1,282.75	$1,825.36	$2,077.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,077.32 / $1,614.44 / $2,438.96	Facility		$1,077.32	$1,614.44	$2,438.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,234.99 / $1,562.62 / $1,707.83	Facility		$1,234.99	$1,562.62	$1,707.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,077.32 / $1,795.35 / $2,316.23	Facility		$1,077.32	$1,795.35	$2,316.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,532.14 / $4,532.14 / $4,532.14	Facility		$4,532.14	$4,532.14	$4,532.14
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