Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,986.19 / $2,747.00 / $7,920.26	Facility		$1,986.19	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,578.85 / $2,254.41 / $2,538.23	Professional		$1,578.85	$2,254.41	$2,538.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,152.95 / $1,921.39 / $2,738.85	Facility		$1,152.95	$1,921.39	$2,738.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $1,839.24 / $2,000.62	Facility		$1,316.25	$1,839.24	$2,000.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,152.95 / $2,135.85 / $2,545.12	Facility		$1,152.95	$2,135.85	$2,545.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,401.14 / $8,924.50 / $21,189.66	Facility		$4,401.14	$8,924.50	$21,189.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00