Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,419.85 / $2,960.60 / $7,920.26	Facility		$2,419.85	$2,960.60	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,934.32 / $2,752.40 / $3,098.92	Professional		$1,934.32	$2,752.40	$3,098.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,571.80 / $2,451.21 / $3,379.37	Facility		$1,571.80	$2,451.21	$3,379.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,598.28 / $2,264.34 / $2,416.02	Facility		$1,598.28	$2,264.34	$2,416.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,571.80 / $2,652.42 / $3,246.08	Facility		$1,571.80	$2,652.42	$3,246.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,193.12 / $6,193.12 / $6,193.12	Facility		$6,193.12	$6,193.12	$6,193.12
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