Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,801.89 / $7,943.28	Facility		$2,238.72	$3,801.89	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $3,890.45	Professional		$2,344.23	$3,090.30	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $4,365.16	Facility		$1,862.09	$2,570.40	$4,365.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,090.30	Facility		$2,344.23	$2,951.21	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $3,801.89	Facility		$1,819.70	$2,290.87	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
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