Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,503.77 / $2,747.00 / $7,920.26	Facility		$1,503.77	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,192.82 / $1,698.33 / $1,933.32	Professional		$1,192.82	$1,698.33	$1,933.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,006.18 / $1,512.20 / $2,163.29	Facility		$1,006.18	$1,512.20	$2,163.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,089.64 / $1,453.07 / $1,534.08	Facility		$1,089.64	$1,453.07	$1,534.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,006.18 / $1,655.69 / $2,163.29	Facility		$1,006.18	$1,655.69	$2,163.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,001.59 / $4,001.59 / $4,001.59	Facility		$4,001.59	$4,001.59	$4,001.59
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