Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,181.08 / $2,747.00 / $7,920.26	Facility		$2,181.08	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,687.74 / $2,384.60 / $2,714.55	Professional		$1,687.74	$2,384.60	$2,714.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $2,217.66 / $3,235.90	Facility		$1,449.90	$2,217.66	$3,235.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,582.86 / $2,055.96 / $2,223.06	Facility		$1,582.86	$2,055.96	$2,223.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $2,416.26 / $3,117.29	Facility		$1,449.90	$2,416.26	$3,117.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,877.26 / $5,877.26 / $5,877.26	Facility		$5,877.26	$5,877.26	$5,877.26
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