Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,719.38 / $2,747.00 / $7,920.26	Facility		$1,719.38	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,372.45 / $1,956.18 / $2,202.46	Professional		$1,372.45	$1,956.18	$2,202.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,118.84 / $1,744.85 / $2,405.53	Facility		$1,118.84	$1,744.85	$2,405.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.53 / $1,615.23 / $1,713.86	Facility		$1,202.53	$1,615.23	$1,713.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,118.84 / $1,886.06 / $2,306.60	Facility		$1,118.84	$1,886.06	$2,306.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,383.10 / $4,383.10 / $4,383.10	Facility		$4,383.10	$4,383.10	$4,383.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00