Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,590.45 / $7,920.26	Facility		$2,747.00	$3,590.45	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,338.58 / $3,323.37 / $3,741.78	Professional		$2,338.58	$3,323.37	$3,741.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,904.84 / $2,970.60 / $4,095.41	Facility		$1,904.84	$2,970.60	$4,095.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,070.75 / $2,783.10 / $2,929.24	Facility		$2,070.75	$2,783.10	$2,929.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,904.84 / $3,233.28 / $3,968.05	Facility		$1,904.84	$3,233.28	$3,968.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,545.32 / $7,545.32 / $7,545.32	Facility		$7,545.32	$7,545.32	$7,545.32
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