Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,209.64 / $2,747.00 / $7,920.26	Facility		$2,209.64	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,770.84 / $2,522.42 / $2,840.00	Professional		$1,770.84	$2,522.42	$2,840.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,436.16 / $2,239.69 / $3,087.74	Facility		$1,436.16	$2,239.69	$3,087.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,550.88 / $2,088.14 / $2,223.06	Facility		$1,550.88	$2,088.14	$2,223.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,436.16 / $2,404.00 / $2,976.73	Facility		$1,436.16	$2,404.00	$2,976.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,658.99 / $5,658.99 / $5,658.99	Facility		$5,658.99	$5,658.99	$5,658.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00