Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $7,943.28	Facility		$1,584.89	$2,884.03	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,454.71 / $2,951.21	Professional		$1,096.48	$2,454.71	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $4,168.69	Facility		$1,584.89	$1,905.46	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $2,454.71	Facility		$1,949.84	$2,238.72	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $3,019.95	Facility		$1,348.96	$1,905.46	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
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