Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $13,182.57	Facility		$2,290.87	$2,884.03	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,754.23	Professional		$1,584.89	$2,089.30	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,981.07	Facility		$1,348.96	$1,862.09	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $2,290.87	Facility		$1,778.28	$2,238.72	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,818.38	Facility		$1,230.27	$1,698.24	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $8,709.64 / $16,218.10	Facility		$3,388.44	$8,709.64	$16,218.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52