Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $7,943.28	Facility		$2,137.96	$3,981.07	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,311.31 / $4,073.80	Professional		$1,479.11	$3,311.31	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $4,570.88	Facility		$2,137.96	$3,019.95	$4,570.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $3,311.31	Facility		$2,630.27	$3,090.30	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $4,073.80	Facility		$1,862.09	$2,630.27	$4,073.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
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