Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $7,943.28	Facility		$1,737.80	$2,951.21	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,019.95	Professional		$1,819.70	$2,344.23	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $3,801.89	Facility		$1,380.38	$1,737.80	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $2,398.83	Facility		$1,995.26	$2,290.87	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,951.21	Facility		$1,318.26	$1,737.80	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
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