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 $1,737.80 / $3,890.45 / $4,786.30	Professional		$1,737.80	$3,890.45	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $5,495.41	Facility		$2,511.89	$3,715.35	$5,495.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,890.45	Facility		$3,090.30	$3,630.78	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $5,128.61	Facility		$2,187.76	$3,548.13	$5,128.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
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