Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,617.40 / $7,920.26	Facility		$2,747.00	$3,617.40	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,325.73 / $3,277.12 / $3,730.56	Professional		$2,325.73	$3,277.12	$3,730.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,980.30 / $3,058.77 / $4,437.33	Facility		$1,980.30	$3,058.77	$4,437.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,210.77 / $2,833.17 / $3,087.88	Facility		$2,210.77	$2,833.17	$3,087.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,980.30 / $3,300.17 / $4,257.64	Facility		$1,980.30	$3,300.17	$4,257.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,191.26 / $8,191.26 / $8,191.26	Facility		$8,191.26	$8,191.26	$8,191.26
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