Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,338.86 / $12,274.80 / $21,735.00	Facility		$2,338.86	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,706.66 / $2,438.33 / $2,745.31	Professional		$1,706.66	$2,438.33	$2,745.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,459.48 / $2,196.94 / $3,137.88	Facility		$1,459.48	$2,196.94	$3,137.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,491.29 / $1,976.86 / $2,168.79	Facility		$1,491.29	$1,976.86	$2,168.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,459.48 / $2,337.92 / $2,864.73	Facility		$1,459.48	$2,337.92	$2,864.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,437.15 / $5,437.15 / $5,437.15	Facility		$5,437.15	$5,437.15	$5,437.15
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