Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,276.60 / $7,920.26 / $20,400.00	Facility		$2,276.60	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,647.02 / $2,326.51 / $2,648.43	Professional		$1,647.02	$2,326.51	$2,648.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,008.92 / $1,971.91 / $2,964.76	Facility		$1,008.92	$1,971.91	$2,964.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,476.37 / $2,006.36 / $2,157.57	Facility		$1,476.37	$2,006.36	$2,157.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,008.92 / $2,150.48 / $2,964.76	Facility		$1,008.92	$2,150.48	$2,964.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,714.00 / $5,714.00 / $5,714.00	Facility		$5,714.00	$5,714.00	$5,714.00
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