Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,670.71 / $3,247.07 / $7,920.26	Facility		$2,670.71	$3,247.07	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,116.84 / $3,013.18 / $3,392.54	Professional		$2,116.84	$3,013.18	$3,392.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,827.52 / $2,850.02 / $3,929.17	Facility		$1,827.52	$2,850.02	$3,929.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,910.38 / $2,578.69 / $2,710.82	Facility		$1,910.38	$2,578.69	$2,710.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,827.52 / $3,036.08 / $3,796.81	Facility		$1,827.52	$3,036.08	$3,796.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,993.45 / $6,993.45 / $6,993.45	Facility		$6,993.45	$6,993.45	$6,993.45
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