Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,286.27 / $2,836.85 / $7,920.26	Facility		$2,286.27	$2,836.85	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,840.87 / $2,640.70 / $2,973.16	Professional		$1,840.87	$2,640.70	$2,973.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,332.21 / $2,220.13 / $3,018.38	Facility		$1,332.21	$2,220.13	$3,018.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,565.06 / $2,130.60 / $2,326.91	Facility		$1,565.06	$2,130.60	$2,326.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,332.21 / $2,420.55 / $2,962.16	Facility		$1,332.21	$2,420.55	$2,962.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,747.71 / $5,747.71 / $5,747.71	Facility		$5,747.71	$5,747.71	$5,747.71
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