Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.05 / $3,380.64 / $7,920.26	Facility		$2,700.05	$3,380.64	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,206.80 / $3,172.66 / $3,572.09	Professional		$2,206.80	$3,172.66	$3,572.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,818.85 / $2,798.54 / $3,910.53	Facility		$1,818.85	$2,798.54	$3,910.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,001.95 / $2,644.48 / $2,878.32	Facility		$2,001.95	$2,644.48	$2,878.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,818.85 / $3,031.11 / $3,878.26	Facility		$1,818.85	$3,031.11	$3,878.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,343.01 / $7,343.01 / $7,343.01	Facility		$7,343.01	$7,343.01	$7,343.01
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