Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $7,943.28	Facility		$1,445.44	$2,570.40	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,187.76 / $2,691.53	Professional		$977.24	$2,187.76	$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 / $2,238.72	Facility		$1,778.28	$2,041.74	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,818.38	Facility		$1,202.26	$1,778.28	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
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