Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,353.88 / $2,932.37 / $7,920.26	Facility		$2,353.88	$2,932.37	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,901.49 / $2,727.66 / $3,071.07	Professional		$1,901.49	$2,727.66	$3,071.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,371.38 / $2,285.40 / $3,144.26	Facility		$1,371.38	$2,285.40	$3,144.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,605.63 / $2,205.83 / $2,403.96	Facility		$1,605.63	$2,205.83	$2,403.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,371.38 / $2,520.05 / $3,046.26	Facility		$1,371.38	$2,520.05	$3,046.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,036.95 / $6,036.95 / $6,036.95	Facility		$6,036.95	$6,036.95	$6,036.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00