Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,520.08 / $3,078.72 / $7,920.26	Facility		$2,520.08	$3,078.72	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,007.73 / $2,856.26 / $3,215.86	Professional		$2,007.73	$2,856.26	$3,215.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,636.78 / $2,552.56 / $3,519.08	Facility		$1,636.78	$2,552.56	$3,519.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,774.72 / $2,386.82 / $2,513.17	Facility		$1,774.72	$2,386.82	$2,513.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,636.78 / $2,766.94 / $3,418.24	Facility		$1,636.78	$2,766.94	$3,418.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,475.28 / $6,475.28 / $6,475.28	Facility		$6,475.28	$6,475.28	$6,475.28
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