Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,598.80 / $3,174.01 / $7,920.26	Facility		$2,598.80	$3,174.01	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,070.50 / $2,944.42 / $3,315.12	Professional		$2,070.50	$2,944.42	$3,315.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,687.20 / $2,631.19 / $3,627.48	Facility		$1,687.20	$2,631.19	$3,627.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,763.91 / $2,445.11 / $2,589.55	Facility		$1,763.91	$2,445.11	$2,589.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,687.20 / $2,854.00 / $3,488.59	Facility		$1,687.20	$2,854.00	$3,488.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,636.75 / $6,636.75 / $6,636.75	Facility		$6,636.75	$6,636.75	$6,636.75
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