Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,715.72 / $3,295.88 / $7,920.26	Facility		$2,715.72	$3,295.88	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,143.80 / $3,045.16 / $3,466.51	Professional		$2,143.80	$3,045.16	$3,466.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,813.04 / $2,698.13 / $3,898.04	Facility		$1,813.04	$2,698.13	$3,898.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,940.91 / $2,611.55 / $2,753.03	Facility		$1,940.91	$2,611.55	$2,753.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,813.04 / $2,942.86 / $3,883.82	Facility		$1,813.04	$2,942.86	$3,883.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,144.26 / $7,144.26 / $7,144.26	Facility		$7,144.26	$7,144.26	$7,144.26
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