Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,060.54 / $2,747.00 / $7,920.26	Facility		$2,060.54	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,676.50 / $2,395.88 / $2,697.52	Professional		$1,676.50	$2,395.88	$2,697.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,457.61 / $2,161.94 / $3,133.86	Facility		$1,457.61	$2,161.94	$3,133.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,406.22 / $1,944.31 / $2,113.85	Facility		$1,406.22	$1,944.31	$2,113.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,457.61 / $2,273.14 / $2,786.98	Facility		$1,457.61	$2,273.14	$2,786.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,240.18 / $5,240.18 / $5,240.18	Facility		$5,240.18	$5,240.18	$5,240.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00