Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,641.49 / $3,242.71 / $7,920.26	Facility		$2,641.49	$3,242.71	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,086.46 / $2,943.65 / $3,350.96	Professional		$2,086.46	$2,943.65	$3,350.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,750.57 / $2,721.36 / $3,934.73	Facility		$1,750.57	$2,721.36	$3,934.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,946.24 / $2,541.69 / $2,734.94	Facility		$1,946.24	$2,541.69	$2,734.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,750.57 / $2,917.32 / $3,763.73	Facility		$1,750.57	$2,917.32	$3,763.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,181.53 / $7,181.53 / $7,181.53	Facility		$7,181.53	$7,181.53	$7,181.53
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