Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $7,943.28	Facility		$1,621.81	$2,884.03	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,454.71 / $3,019.95	Professional		$1,096.48	$2,454.71	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $4,168.69	Facility		$1,584.89	$2,089.30	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $2,511.89	Facility		$1,995.26	$2,290.87	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $3,162.28	Facility		$1,348.96	$1,949.84	$3,162.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
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