Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,171.69 / $2,747.00 / $7,920.26	Facility		$2,171.69	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,718.26 / $2,430.88 / $2,767.24	Professional		$1,718.26	$2,430.88	$2,767.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,443.65 / $2,251.37 / $3,155.37	Facility		$1,443.65	$2,251.37	$3,155.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,589.64 / $2,093.15 / $2,219.52	Facility		$1,589.64	$2,093.15	$2,219.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,443.65 / $2,405.84 / $3,103.85	Facility		$1,443.65	$2,405.84	$3,103.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,850.65 / $5,850.65 / $5,850.65	Facility		$5,850.65	$5,850.65	$5,850.65
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