Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,148.80 / $4,507.66 / $7,920.26	Facility		$3,148.80	$4,507.66	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,562.84 / $3,681.51 / $4,145.01	Professional		$2,562.84	$3,681.51	$4,145.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,119.76 / $3,269.93 / $4,557.47	Facility		$2,119.76	$3,269.93	$4,557.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,264.92 / $3,070.64 / $3,349.33	Facility		$2,264.92	$3,070.64	$3,349.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,119.76 / $3,532.58 / $4,530.81	Facility		$2,119.76	$3,532.58	$4,530.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,581.66 / $8,581.66 / $8,581.66	Facility		$8,581.66	$8,581.66	$8,581.66
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