Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,651.59 / $3,258.82 / $7,920.26	Facility		$2,651.59	$3,258.82	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,122.58 / $3,030.77 / $3,412.35	Professional		$2,122.58	$3,030.77	$3,412.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,777.46 / $2,671.43 / $3,821.54	Facility		$1,777.46	$2,671.43	$3,821.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,854.16 / $2,450.19 / $2,742.31	Facility		$1,854.16	$2,450.19	$2,742.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,777.46 / $3,000.24 / $3,821.54	Facility		$1,777.46	$3,000.24	$3,821.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,870.98 / $6,870.98 / $6,870.98	Facility		$6,870.98	$6,870.98	$6,870.98
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