Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.77 / $2,747.00 / $7,920.26	Facility		$1,743.77	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,436.67 / $2,077.13 / $2,338.63	Professional		$1,436.67	$2,077.13	$2,338.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,128.27 / $1,804.32 / $2,541.06	Facility		$1,128.27	$1,804.32	$2,541.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,241.44 / $1,684.80 / $1,858.58	Facility		$1,241.44	$1,684.80	$1,858.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,181.89 / $1,969.62 / $2,506.52	Facility		$1,181.89	$1,969.62	$2,506.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,718.50 / $4,718.50 / $4,718.50	Facility		$4,718.50	$4,718.50	$4,718.50
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