Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,462.04 / $2,870.89 / $7,920.26	Facility		$2,462.04	$2,870.89	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,866.39 / $2,627.46 / $2,991.02	Professional		$1,866.39	$2,627.46	$2,991.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,633.24 / $2,547.04 / $3,655.19	Facility		$1,633.24	$2,547.04	$3,655.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,818.33 / $2,273.61 / $2,548.01	Facility		$1,818.33	$2,273.61	$2,548.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,633.24 / $2,721.79 / $3,655.19	Facility		$1,633.24	$2,721.79	$3,655.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,739.69 / $6,739.69 / $6,739.69	Facility		$6,739.69	$6,739.69	$6,739.69
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