Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.36 / $2,747.00 / $7,920.26	Facility		$1,894.36	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,529.49 / $2,197.01 / $2,473.61	Professional		$1,529.49	$2,197.01	$2,473.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,276.25 / $1,990.31 / $2,832.34	Facility		$1,276.25	$1,990.31	$2,832.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,456.28 / $1,863.21 / $2,026.08	Facility		$1,456.28	$1,863.21	$2,026.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,276.25 / $2,126.87 / $2,743.94	Facility		$1,276.25	$2,126.87	$2,743.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,359.09 / $5,359.09 / $5,359.09	Facility		$5,359.09	$5,359.09	$5,359.09
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