Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,156.13 / $2,747.00 / $7,920.26	Facility		$2,156.13	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,684.53 / $2,377.59 / $2,706.57	Professional		$1,684.53	$2,377.59	$2,706.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,431.23 / $2,232.00 / $3,166.48	Facility		$1,431.23	$2,232.00	$3,166.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,585.77 / $2,052.06 / $2,209.66	Facility		$1,585.77	$2,052.06	$2,209.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,431.23 / $2,385.14 / $3,166.48	Facility		$1,431.23	$2,385.14	$3,166.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,841.77 / $5,841.77 / $5,841.77	Facility		$5,841.77	$5,841.77	$5,841.77
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