Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,098.72 / $7,920.26	Facility		$2,747.00	$4,098.72	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,647.56 / $3,747.11 / $4,265.60	Professional		$2,647.56	$3,747.11	$4,265.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,232.07 / $3,332.15 / $4,798.95	Facility		$2,232.07	$3,332.15	$4,798.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,068.29 / $3,225.21 / $3,433.75	Facility		$2,068.29	$3,225.21	$3,433.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,232.07 / $3,607.97 / $4,794.60	Facility		$2,232.07	$3,607.97	$4,794.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,885.08 / $8,885.08 / $8,885.08	Facility		$8,885.08	$8,885.08	$8,885.08
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