Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,677.35 / $7,943.28	Facility		$2,511.89	$4,677.35	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,890.45 / $4,786.30	Professional		$1,778.28	$3,890.45	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $6,606.93	Facility		$2,511.89	$3,235.94	$6,606.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,981.07	Facility		$3,090.30	$3,630.78	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $4,897.79	Facility		$2,187.76	$2,754.23	$4,897.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
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