Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,888.44 / $7,943.28	Facility		$3,235.94	$5,888.44	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $5,011.87 / $6,165.95	Professional		$2,290.87	$5,011.87	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $6,918.31	Facility		$2,290.87	$3,311.31	$6,918.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $4,897.79	Facility		$2,570.40	$4,570.88	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $5,888.44	Facility		$2,630.27	$3,311.31	$5,888.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
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