Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $13,182.57	Facility		$2,290.87	$2,951.21	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $2,570.40	Professional		$1,122.02	$2,187.76	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $4,073.80	Facility		$1,148.15	$1,737.80	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,398.83	Facility		$1,659.59	$2,187.76	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,818.38	Facility		$1,148.15	$1,698.24	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,244.36	Facility		$4,570.88	$5,888.44	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51