Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $7,943.28	Facility		$1,995.26	$3,630.78	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,019.95 / $3,715.35	Professional		$1,318.26	$3,019.95	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $4,265.80	Facility		$1,995.26	$2,818.38	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $3,090.30	Facility		$2,454.71	$2,818.38	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $3,801.89	Facility		$1,698.24	$2,511.89	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
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