Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,386.98 / $2,958.20 / $7,920.26	Facility		$2,386.98	$2,958.20	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,933.80 / $2,774.42 / $3,123.72	Professional		$1,933.80	$2,774.42	$3,123.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,347.07 / $2,431.92 / $3,352.77	Facility		$1,347.07	$2,431.92	$3,352.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,544.21 / $2,266.96 / $2,456.21	Facility		$1,544.21	$2,266.96	$2,456.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,559.43 / $2,620.88 / $3,269.22	Facility		$1,559.43	$2,620.88	$3,269.22
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $464.46 / $464.46 / $464.46	Facility	80	$464.46	$464.46	$464.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,161.20 / $6,161.20 / $6,161.20	Facility		$6,161.20	$6,161.20	$6,161.20
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