Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,754.23 / $7,943.28	Facility		$1,513.56	$2,754.23	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,344.23 / $2,884.03	Professional		$1,047.13	$2,344.23	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $3,235.94	Facility		$1,513.56	$2,137.96	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $2,344.23	Facility		$1,819.70	$2,187.76	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,884.03	Facility		$1,318.26	$1,819.70	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
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