Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $7,943.28	Facility		$2,344.23	$4,365.16	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,630.78 / $4,466.84	Professional		$1,621.81	$3,630.78	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $5,128.61	Facility		$2,344.23	$3,388.44	$5,128.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,388.44 / $3,630.78	Facility		$2,754.23	$3,388.44	$3,630.78
Providence 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
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
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