Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,888.44 / $7,943.28	Facility		$3,162.28	$5,888.44	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,897.79 / $6,025.60	Professional		$2,290.87	$4,897.79	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $6,760.83	Facility		$3,162.28	$4,570.88	$6,760.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,570.88 / $4,786.30	Facility		$3,801.89	$4,570.88	$4,786.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $5,888.44	Facility		$2,818.38	$3,630.78	$5,888.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility		$12,589.25	$12,589.25	$12,589.25
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