Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $7,943.28	Facility		$1,380.38	$2,290.87	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,398.83	Professional		$1,445.44	$1,905.46	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,454.71	Facility		$1,096.48	$1,548.82	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $1,905.46	Facility		$1,412.54	$1,819.70	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,290.87	Facility		$1,071.52	$1,380.38	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
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