Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,547.66 / $7,920.26	Facility		$2,747.00	$3,547.66	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,301.07 / $3,290.19 / $3,704.42	Professional		$2,301.07	$3,290.19	$3,704.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,666.08 / $2,776.52 / $3,877.34	Facility		$1,666.08	$2,776.52	$3,877.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,928.88 / $2,674.02 / $2,912.49	Facility		$1,928.88	$2,674.02	$2,912.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,666.08 / $3,100.83 / $3,700.99	Facility		$1,666.08	$3,100.83	$3,700.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,396.24 / $7,396.24 / $7,396.24	Facility		$7,396.24	$7,396.24	$7,396.24
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