Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,840.37 / $5,116.62 / $20,400.00	Facility		$2,840.37	$5,116.62	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,298.28 / $3,305.83 / $3,722.03	Professional		$2,298.28	$3,305.83	$3,722.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.57 / $2,707.44 / $3,659.82	Facility		$1,659.57	$2,707.44	$3,659.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,886.99 / $2,596.42 / $2,907.13	Facility		$1,886.99	$2,596.42	$2,907.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.57 / $2,938.82 / $3,690.69	Facility		$1,659.57	$2,938.82	$3,690.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,007.62 / $7,007.62 / $7,007.62	Facility		$7,007.62	$7,007.62	$7,007.62
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