Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,574.21 / $3,261.99 / $15,401.33	Facility		$2,574.21	$3,261.99	$15,401.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,100.71 / $2,976.03 / $3,350.71	Professional		$2,100.71	$2,976.03	$3,350.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,811.16 / $2,824.50 / $3,929.17	Facility		$1,811.16	$2,824.50	$3,929.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,947.21 / $2,559.06 / $2,728.16	Facility		$1,947.21	$2,559.06	$2,728.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,811.16 / $3,018.30 / $3,893.99	Facility		$1,811.16	$3,018.30	$3,893.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,185.10 / $7,185.10 / $7,185.10	Facility		$7,185.10	$7,185.10	$7,185.10
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