Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $7,943.28	Facility		$2,290.87	$4,265.80	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,884.03 / $4,265.80	Professional		$1,258.93	$2,884.03	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $6,025.60	Facility		$2,089.30	$2,691.53	$6,025.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $3,548.13	Facility		$2,884.03	$3,311.31	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $4,365.16	Facility		$1,584.89	$2,691.53	$4,365.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
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