Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,667.18 / $7,920.26	Facility		$2,747.00	$3,667.18	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,387.31 / $3,434.20 / $3,866.56	Professional		$2,387.31	$3,434.20	$3,866.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,943.11 / $3,018.15 / $4,214.47	Facility		$1,943.11	$3,018.15	$4,214.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,153.60 / $2,905.12 / $3,121.53	Facility		$2,153.60	$2,905.12	$3,121.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,960.22 / $3,266.71 / $4,181.85	Facility		$1,960.22	$3,266.71	$4,181.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,935.72 / $7,935.72 / $7,935.72	Facility		$7,935.72	$7,935.72	$7,935.72
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