Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,450.88 / $2,976.77 / $7,920.26	Facility		$2,450.88	$2,976.77	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,930.11 / $2,720.14 / $3,096.52	Professional		$1,930.11	$2,720.14	$3,096.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,622.59 / $2,530.42 / $3,659.82	Facility		$1,622.59	$2,530.42	$3,659.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,828.99 / $2,351.23 / $2,541.16	Facility		$1,828.99	$2,351.23	$2,541.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,622.59 / $2,704.05 / $3,659.82	Facility		$1,622.59	$2,704.05	$3,659.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,748.56 / $6,748.56 / $6,748.56	Facility		$6,748.56	$6,748.56	$6,748.56
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