Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $7,943.28	Facility		$1,737.80	$3,235.94	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,691.53 / $3,311.31	Professional		$1,202.26	$2,691.53	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $3,715.35	Facility		$1,737.80	$2,511.89	$3,715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,691.53	Facility		$2,137.96	$2,511.89	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $3,388.44	Facility		$1,513.56	$2,238.72	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
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