Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,593.75 / $3,159.04 / $7,920.26	Facility		$2,593.75	$3,159.04	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,051.25 / $2,911.67 / $3,314.55	Professional		$2,051.25	$2,911.67	$3,314.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,730.50 / $2,548.69 / $3,720.58	Facility		$1,730.50	$2,548.69	$3,720.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,777.49 / $2,498.79 / $2,642.48	Facility		$1,777.49	$2,498.79	$2,642.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,730.50 / $2,760.06 / $3,707.95	Facility		$1,730.50	$2,760.06	$3,707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,521.42 / $9,266.06 / $11,895.06	Facility		$4,521.42	$9,266.06	$11,895.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00