Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,689.92 / $3,253.34 / $7,920.26	Facility		$2,689.92	$3,253.34	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,112.54 / $2,980.64 / $3,393.07	Professional		$2,112.54	$2,980.64	$3,393.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,784.23 / $2,725.50 / $3,996.74	Facility		$1,784.23	$2,725.50	$3,996.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,763.52 / $2,573.44 / $2,775.08	Facility		$1,763.52	$2,573.44	$2,775.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,784.23 / $2,973.42 / $3,836.09	Facility		$1,784.23	$2,973.42	$3,836.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,339.49 / $7,339.49 / $7,339.49	Facility		$7,339.49	$7,339.49	$7,339.49
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