Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,311.31 / $7,943.28	Facility		$1,778.28	$3,311.31	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,754.23 / $3,388.44	Professional		$1,230.27	$2,754.23	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $3,801.89	Facility		$1,778.28	$2,570.40	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $2,754.23	Facility		$2,041.74	$2,570.40	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $3,388.44	Facility		$1,548.82	$2,187.76	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52