Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,590.87 / $3,244.34 / $7,920.26	Facility		$2,590.87	$3,244.34	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,115.96 / $3,042.97 / $3,426.08	Professional		$2,115.96	$3,042.97	$3,426.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,745.89 / $2,688.96 / $3,753.66	Facility		$1,745.89	$2,688.96	$3,753.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,926.37 / $2,557.10 / $2,762.41	Facility		$1,926.37	$2,557.10	$2,762.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,745.89 / $2,909.53 / $3,743.13	Facility		$1,745.89	$2,909.53	$3,743.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,981.01 / $6,981.01 / $6,981.01	Facility		$6,981.01	$6,981.01	$6,981.01
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