Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,548.13 / $7,943.28	Facility		$489.78	$3,548.13	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $4,073.80	Professional		$2,454.71	$3,235.94	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $4,265.80	Facility		$1,548.82	$2,454.71	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $3,311.31	Facility		$2,344.23	$3,090.30	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,981.07	Facility		$1,698.24	$2,398.83	$3,981.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Facility		$8,511.38	$8,511.38	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $25,703.96 / $52,480.75	Facility		$3,311.31	$25,703.96	$52,480.75