Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,722.52 / $7,920.26	Facility		$2,747.00	$3,722.52	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,437.21 / $3,451.49 / $3,929.07	Professional		$2,437.21	$3,451.49	$3,929.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,061.40 / $3,067.41 / $4,432.01	Facility		$2,061.40	$3,067.41	$4,432.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,233.06 / $2,968.97 / $3,124.88	Facility		$2,233.06	$2,968.97	$3,124.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,061.40 / $3,388.79 / $4,431.77	Facility		$2,061.40	$3,388.79	$4,431.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,242.70 / $8,242.70 / $8,242.70	Facility		$8,242.70	$8,242.70	$8,242.70
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