Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,388.44 / $7,943.28	Facility		$1,995.26	$3,388.44	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $3,467.37	Professional		$2,089.30	$2,691.53	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $3,630.78	Facility		$1,621.81	$2,089.30	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $2,754.23	Facility		$2,137.96	$2,630.27	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,388.44	Facility		$1,513.56	$1,995.26	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
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