Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,540.04 / $7,920.26	Facility		$2,747.00	$3,540.04	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,321.48 / $3,313.48 / $3,730.65	Professional		$2,321.48	$3,313.48	$3,730.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,891.24 / $2,921.76 / $4,066.17	Facility		$1,891.24	$2,921.76	$4,066.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,003.61 / $2,668.66 / $2,978.15	Facility		$2,003.61	$2,668.66	$2,978.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,891.24 / $3,286.98 / $4,066.17	Facility		$1,891.24	$3,286.98	$4,066.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,374.97 / $7,374.97 / $7,374.97	Facility		$7,374.97	$7,374.97	$7,374.97
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