Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,443.86 / $3,069.41 / $7,920.26	Facility		$2,443.86	$3,069.41	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,000.67 / $2,882.94 / $3,245.90	Professional		$2,000.67	$2,882.94	$3,245.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,650.29 / $2,517.98 / $3,548.12	Facility		$1,650.29	$2,517.98	$3,548.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,790.71 / $2,372.58 / $2,607.64	Facility		$1,790.71	$2,372.58	$2,607.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,650.29 / $2,750.21 / $3,483.96	Facility		$1,650.29	$2,750.21	$3,483.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,592.39 / $6,592.39 / $6,592.39	Facility		$6,592.39	$6,592.39	$6,592.39
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