Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,502.57 / $3,111.94 / $7,920.26	Facility		$2,502.57	$3,111.94	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,035.48 / $2,926.08 / $3,294.47	Professional		$2,035.48	$2,926.08	$3,294.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,687.34 / $2,619.88 / $3,627.78	Facility		$1,687.34	$2,619.88	$3,627.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,782.18 / $2,448.81 / $2,617.69	Facility		$1,782.18	$2,448.81	$2,617.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,687.34 / $2,811.95 / $3,600.58	Facility		$1,687.34	$2,811.95	$3,600.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,739.69 / $6,739.69 / $6,739.69	Facility		$6,739.69	$6,739.69	$6,739.69
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