Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,844.14 / $2,747.00 / $7,920.26	Facility		$1,844.14	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,456.44 / $2,056.79 / $2,341.38	Professional		$1,456.44	$2,056.79	$2,341.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,223.58 / $1,908.17 / $2,749.96	Facility		$1,223.58	$1,908.17	$2,749.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,364.84 / $1,774.20 / $1,919.64	Facility		$1,364.84	$1,774.20	$1,919.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,223.58 / $2,039.10 / $2,749.96	Facility		$1,223.58	$2,039.10	$2,749.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,043.22 / $5,043.22 / $5,043.22	Facility		$5,043.22	$5,043.22	$5,043.22
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