Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $7,943.28	Facility		$2,570.40	$4,786.30	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $4,073.80 / $5,011.87	Professional		$1,862.09	$4,073.80	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $5,623.41	Facility		$1,862.09	$2,818.38	$5,623.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,715.35 / $3,981.07	Facility		$2,398.83	$3,715.35	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $4,786.30	Facility		$2,089.30	$2,691.53	$4,786.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
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