Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,266.98 / $11,652.00 / $23,856.49	Facility		$2,266.98	$11,652.00	$23,856.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,656.90 / $2,359.88 / $2,656.99	Professional		$1,656.90	$2,359.88	$2,656.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,346.28 / $2,099.52 / $2,894.50	Facility		$1,346.28	$2,099.52	$2,894.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,449.62 / $1,946.01 / $2,073.65	Facility		$1,449.62	$1,946.01	$2,073.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,346.28 / $2,270.96 / $2,777.73	Facility		$1,346.28	$2,270.96	$2,777.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,284.55 / $5,284.55 / $5,284.55	Facility		$5,284.55	$5,284.55	$5,284.55
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