Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,798.22 / $7,920.26	Facility		$2,747.00	$3,798.22	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,468.08 / $3,540.71 / $3,986.48	Professional		$2,468.08	$3,540.71	$3,986.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,038.25 / $3,178.65 / $4,434.55	Facility		$2,038.25	$3,178.65	$4,434.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,244.19 / $3,006.56 / $3,203.27	Facility		$2,244.19	$3,006.56	$3,203.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,038.25 / $3,396.74 / $4,382.24	Facility		$2,038.25	$3,396.74	$4,382.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,303.02 / $8,303.02 / $8,303.02	Facility		$8,303.02	$8,303.02	$8,303.02
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