Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,054.17 / $7,920.26	Facility		$2,747.00	$4,054.17	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,624.01 / $3,755.00 / $4,227.75	Professional		$2,624.01	$3,755.00	$4,227.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,900.75 / $3,167.60 / $4,383.64	Facility		$1,900.75	$3,167.60	$4,383.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,246.63 / $3,088.70 / $3,327.89	Facility		$2,246.63	$3,088.70	$3,327.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,900.75 / $3,503.86 / $4,226.14	Facility		$1,900.75	$3,503.86	$4,226.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,366.91 / $8,366.91 / $8,366.91	Facility		$8,366.91	$8,366.91	$8,366.91
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