Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,800.90 / $7,920.26	Facility		$2,747.00	$3,800.90	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,494.11 / $3,529.39 / $4,017.74	Professional		$2,494.11	$3,529.39	$4,017.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,074.19 / $3,139.02 / $4,583.57	Facility		$2,074.19	$3,139.02	$4,583.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,191.64 / $3,038.28 / $3,205.95	Facility		$2,191.64	$3,038.28	$3,205.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,074.19 / $3,455.31 / $4,459.51	Facility		$2,074.19	$3,455.31	$4,459.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,468.06 / $8,468.06 / $8,468.06	Facility		$8,468.06	$8,468.06	$8,468.06
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