Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,255.23 / $2,752.88 / $7,920.26	Facility		$2,255.23	$2,752.88	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,792.12 / $2,553.40 / $2,874.87	Professional		$1,792.12	$2,553.40	$2,874.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,465.92 / $2,286.10 / $3,151.73	Facility		$1,465.92	$2,286.10	$3,151.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,575.59 / $2,126.79 / $2,259.23	Facility		$1,575.59	$2,126.79	$2,259.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,465.92 / $2,442.96 / $3,045.22	Facility		$1,465.92	$2,442.96	$3,045.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,774.32 / $5,774.32 / $5,774.32	Facility		$5,774.32	$5,774.32	$5,774.32
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