Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,556.37 / $3,082.44 / $7,920.26	Facility		$2,556.37	$3,082.44	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,001.67 / $2,824.04 / $3,214.80	Professional		$2,001.67	$2,824.04	$3,214.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,695.23 / $2,601.30 / $3,806.07	Facility		$1,695.23	$2,601.30	$3,806.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,833.41 / $2,438.41 / $2,629.75	Facility		$1,833.41	$2,438.41	$2,629.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,695.23 / $2,825.10 / $3,644.74	Facility		$1,695.23	$2,825.10	$3,644.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,949.09 / $6,949.09 / $6,949.09	Facility		$6,949.09	$6,949.09	$6,949.09
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