Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,672.91 / $3,265.12 / $7,920.26	Facility		$2,672.91	$3,265.12	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,122.55 / $3,021.20 / $3,439.24	Professional		$2,122.55	$3,021.20	$3,439.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,787.97 / $2,671.38 / $3,844.14	Facility		$1,787.97	$2,671.38	$3,844.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,923.47 / $2,585.64 / $2,723.55	Facility		$1,923.47	$2,585.64	$2,723.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,787.97 / $2,911.08 / $3,780.15	Facility		$1,787.97	$2,911.08	$3,780.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,051.98 / $7,051.98 / $7,051.98	Facility		$7,051.98	$7,051.98	$7,051.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $15,055.00 / $24,231.00	Facility		$2,912.00	$15,055.00	$24,231.00