Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,692.03 / $3,267.16 / $7,920.26	Facility		$2,692.03	$3,267.16	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,133.30 / $3,007.34 / $3,423.46	Professional		$2,133.30	$3,007.34	$3,423.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,678.90 / $2,776.56 / $4,036.54	Facility		$1,678.90	$2,776.56	$4,036.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,991.30 / $2,598.73 / $2,793.23	Facility		$1,991.30	$2,598.73	$2,793.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,678.90 / $2,969.69 / $3,831.28	Facility		$1,678.90	$2,969.69	$3,831.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,378.49 / $7,378.49 / $7,378.49	Facility		$7,378.49	$7,378.49	$7,378.49
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