Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $7,943.28	Facility		$2,041.74	$3,801.89	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,235.94 / $3,890.45	Professional		$1,479.11	$3,235.94	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $4,466.84	Facility		$2,041.74	$2,951.21	$4,466.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $3,090.30	Facility		$2,454.71	$2,951.21	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,801.89	Facility		$1,862.09	$2,570.40	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
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