Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.37 / $2,747.00 / $7,920.26	Facility		$2,187.37	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,711.73 / $2,421.27 / $2,756.29	Professional		$1,711.73	$2,421.27	$2,756.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,454.63 / $2,202.48 / $3,224.79	Facility		$1,454.63	$2,202.48	$3,224.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,586.25 / $2,085.19 / $2,234.44	Facility		$1,586.25	$2,085.19	$2,234.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,454.63 / $2,424.14 / $3,127.45	Facility		$1,454.63	$2,424.14	$3,127.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,882.56 / $5,882.56 / $5,882.56	Facility		$5,882.56	$5,882.56	$5,882.56
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