Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $7,943.28	Facility		$2,187.76	$3,981.07	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,388.44 / $4,168.69	Professional		$1,513.56	$3,388.44	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $4,677.35	Facility		$2,187.76	$3,090.30	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $3,388.44	Facility		$2,691.53	$3,162.28	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,818.38 / $4,168.69	Facility		$1,905.46	$2,818.38	$4,168.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
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