Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,570.88 / $7,943.28	Facility		$2,511.89	$4,570.88	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,890.45 / $4,786.30	Professional		$1,778.28	$3,890.45	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $7,943.28	Facility		$2,511.89	$2,754.23	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,801.89	Facility		$3,090.30	$3,630.78	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $4,570.88	Facility		$2,041.74	$2,570.40	$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