Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $30,031.41	Facility		$2,747.00	$7,920.26	$30,031.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,150.48 / $3,068.73 / $3,455.08	Professional		$2,150.48	$3,068.73	$3,455.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,848.21 / $2,844.32 / $3,973.65	Facility		$1,848.21	$2,844.32	$3,973.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,867.07 / $2,547.35 / $2,738.96	Facility		$1,867.07	$2,547.35	$2,738.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,848.21 / $3,021.23 / $3,761.64	Facility		$1,848.21	$3,021.23	$3,761.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,025.36 / $7,025.36 / $7,025.36	Facility		$7,025.36	$7,025.36	$7,025.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00