Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,090.30 / $7,943.28	Facility		$1,698.24	$3,090.30	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,630.27 / $3,235.94	Professional		$1,174.90	$2,630.27	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,630.78	Facility		$1,698.24	$2,398.83	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $2,630.27	Facility		$1,905.46	$2,454.71	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $3,235.94	Facility		$1,479.11	$2,137.96	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
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