Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $7,943.28	Facility		$1,348.96	$2,238.72	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,290.87	Professional		$1,412.54	$1,862.09	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,398.83	Facility		$1,071.52	$1,380.38	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $1,819.70	Facility		$1,412.54	$1,737.80	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,238.72	Facility		$1,047.13	$1,348.96	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
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