Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $34,673.69	Facility		$2,511.89	$3,090.30	$34,673.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,570.40 / $3,162.28	Professional		$1,148.15	$2,570.40	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $4,365.16	Facility		$1,659.59	$2,398.83	$4,365.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $2,511.89	Facility		$1,995.26	$2,398.83	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $3,090.30	Facility		$1,445.44	$2,089.30	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
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