Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $13,182.57	Facility		$2,630.27	$3,388.44	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $3,388.44	Professional		$1,949.84	$2,570.40	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $7,943.28	Facility		$1,479.11	$1,905.46	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $2,691.53	Facility		$2,041.74	$2,570.40	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $3,235.94	Facility		$1,348.96	$1,905.46	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50