Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,358.97 / $7,920.26 / $41,392.25	Facility		$3,358.97	$7,920.26	$41,392.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,645.90 / $3,729.96 / $4,246.07	Professional		$2,645.90	$3,729.96	$4,246.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,224.78 / $3,469.54 / $5,068.59	Facility		$2,224.78	$3,469.54	$5,068.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,507.77 / $3,223.18 / $3,467.92	Facility		$2,507.77	$3,223.18	$3,467.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,224.78 / $3,707.60 / $5,068.59	Facility		$2,224.78	$3,707.60	$5,068.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,273.69 / $9,273.69 / $9,273.69	Facility		$9,273.69	$9,273.69	$9,273.69
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