Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,340.61 / $2,861.94 / $7,920.26	Facility		$2,340.61	$2,861.94	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,864.93 / $2,654.93 / $2,989.18	Professional		$1,864.93	$2,654.93	$2,989.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,652.12 / $2,738.61 / $3,840.31	Facility		$1,652.12	$2,738.61	$3,840.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,640.52 / $2,268.62 / $2,703.19	Facility		$1,640.52	$2,268.62	$2,703.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,652.12 / $2,817.85 / $3,552.06	Facility		$1,652.12	$2,817.85	$3,552.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,976.63 / $5,976.63 / $5,976.63	Facility		$5,976.63	$5,976.63	$5,976.63
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