Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $7,943.28	Facility		$1,445.44	$2,630.27	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $2,691.53	Professional		$1,000.00	$2,238.72	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $3,090.30	Facility		$1,445.44	$2,089.30	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $2,187.76	Facility		$1,778.28	$2,041.74	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $2,754.23	Facility		$1,230.27	$1,862.09	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility		$5,888.44	$5,888.44	$5,888.44
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