Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,661.34 / $3,347.54 / $7,920.26	Facility		$2,661.34	$3,347.54	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,182.11 / $3,144.41 / $3,540.29	Professional		$2,182.11	$3,144.41	$3,540.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,797.01 / $2,746.35 / $3,863.57	Facility		$1,797.01	$2,746.35	$3,863.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,847.71 / $2,552.55 / $2,843.48	Facility		$1,847.71	$2,552.55	$2,843.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,797.01 / $2,994.72 / $3,797.74	Facility		$1,797.01	$2,994.72	$3,797.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,215.24 / $7,215.24 / $7,215.24	Facility		$7,215.24	$7,215.24	$7,215.24
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