Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,754.40 / $13,182.57	Facility		$4,570.88	$5,754.40	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,981.07 / $4,786.30	Professional		$1,995.26	$3,981.07	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,388.44 / $7,762.47	Facility		$2,238.72	$3,388.44	$7,762.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $4,570.88	Facility		$3,467.37	$4,365.16	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $5,623.41	Facility		$2,238.72	$3,235.94	$5,623.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility		$11,748.98	$11,748.98	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $8,128.31 / $12,882.50	Facility		$1,445.44	$8,128.31	$12,882.50