Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,203.12 / $2,754.41 / $7,920.26	Facility		$2,203.12	$2,754.41	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,796.51 / $2,585.69 / $2,911.24	Professional		$1,796.51	$2,585.69	$2,911.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,488.56 / $2,321.41 / $3,205.35	Facility		$1,488.56	$2,321.41	$3,205.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,602.24 / $2,149.55 / $2,299.44	Facility		$1,602.24	$2,149.55	$2,299.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,488.56 / $2,480.69 / $3,200.40	Facility		$1,488.56	$2,480.69	$3,200.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,974.85 / $5,974.85 / $5,974.85	Facility		$5,974.85	$5,974.85	$5,974.85
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