Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,849.03 / $2,747.00 / $7,920.26	Facility		$1,849.03	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,473.28 / $2,105.46 / $2,396.80	Professional		$1,473.28	$2,105.46	$2,396.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,241.76 / $1,826.46 / $2,669.78	Facility		$1,241.76	$1,826.46	$2,669.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,310.08 / $1,768.65 / $1,886.72	Facility		$1,310.08	$1,768.65	$1,886.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,241.76 / $1,983.36 / $2,625.93	Facility		$1,241.76	$1,983.36	$2,625.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,805.43 / $4,805.43 / $4,805.43	Facility		$4,805.43	$4,805.43	$4,805.43
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