Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $7,943.28	Facility		$2,454.71	$4,570.88	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,890.45 / $4,677.35	Professional		$1,778.28	$3,890.45	$4,677.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $5,370.32	Facility		$2,187.76	$3,162.28	$5,370.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $3,801.89	Facility		$2,630.27	$3,548.13	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $4,570.88	Facility		$2,137.96	$2,754.23	$4,570.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
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