Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,612.82 / $3,109.32 / $7,920.26	Facility		$2,612.82	$3,109.32	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,020.87 / $2,844.20 / $3,237.74	Professional		$2,020.87	$2,844.20	$3,237.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,729.78 / $2,697.59 / $3,944.91	Facility		$1,729.78	$2,697.59	$3,944.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,947.21 / $2,461.79 / $2,698.24	Facility		$1,947.21	$2,461.79	$2,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,729.78 / $2,882.68 / $3,719.03	Facility		$1,729.78	$2,882.68	$3,719.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,186.84 / $7,186.84 / $7,186.84	Facility		$7,186.84	$7,186.84	$7,186.84
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