Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $7,943.28	Facility		$2,137.96	$3,548.13	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,715.35	Professional		$2,187.76	$2,884.03	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,073.80	Facility		$1,698.24	$2,187.76	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $2,951.21	Facility		$2,089.30	$2,818.38	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $3,548.13	Facility		$1,621.81	$2,137.96	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
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