Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,567.20 / $2,747.00 / $7,920.26	Facility		$1,567.20	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,265.02 / $1,806.22 / $2,033.63	Professional		$1,265.02	$1,806.22	$2,033.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,106.35 / $1,680.19 / $2,378.67	Facility		$1,106.35	$1,680.19	$2,378.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,127.92 / $1,510.11 / $1,606.66	Facility		$1,127.92	$1,510.11	$1,606.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,106.35 / $1,779.77 / $2,218.66	Facility		$1,106.35	$1,779.77	$2,218.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,131.09 / $4,131.09 / $4,131.09	Facility		$4,131.09	$4,131.09	$4,131.09
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