Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,619.46 / $2,747.00 / $7,920.26	Facility		$1,619.46	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,267.85 / $1,788.58 / $2,036.07	Professional		$1,267.85	$1,788.58	$2,036.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $775.64 / $1,536.09 / $2,309.51	Facility		$775.64	$1,536.09	$2,309.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,107.17 / $1,544.48 / $1,638.82	Facility		$1,107.17	$1,544.48	$1,638.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $775.64 / $1,675.20 / $2,309.51	Facility		$775.64	$1,675.20	$2,309.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,338.76 / $4,338.76 / $4,338.76	Facility		$4,338.76	$4,338.76	$4,338.76
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