Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,524.26 / $3,048.22 / $7,920.26	Facility		$2,524.26	$3,048.22	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,984.89 / $2,800.25 / $3,187.71	Professional		$1,984.89	$2,800.25	$3,187.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,674.17 / $2,355.67 / $3,676.48	Facility		$1,674.17	$2,355.67	$3,676.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,663.55 / $2,417.94 / $2,595.58	Facility		$1,663.55	$2,417.94	$2,595.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,674.17 / $2,610.87 / $3,599.47	Facility		$1,674.17	$2,610.87	$3,599.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,819.53 / $6,819.53 / $6,819.53	Facility		$6,819.53	$6,819.53	$6,819.53
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