Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $33,113.11	Facility		$1,737.80	$2,187.76	$33,113.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,238.72	Professional		$1,348.96	$1,778.28	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,754.23	Facility		$1,071.52	$1,621.81	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,778.28	Facility		$1,445.44	$1,698.24	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,137.96	Facility		$1,023.29	$1,318.26	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
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