Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,176.77 / $7,920.26	Facility		$2,747.00	$4,176.77	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,712.69 / $3,833.10 / $4,363.47	Professional		$2,712.69	$3,833.10	$4,363.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.03 / $3,816.33 / $6,735.78	Facility		$2,290.03	$3,816.33	$6,735.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,517.46 / $3,319.98 / $4,153.08	Facility		$2,517.46	$3,319.98	$4,153.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.03 / $4,218.89 / $6,018.92	Facility		$2,290.03	$4,218.89	$6,018.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,259.52 / $9,259.52 / $9,259.52	Facility		$9,259.52	$9,259.52	$9,259.52
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