Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,951.21 / $7,943.28	Facility		$1,584.89	$2,951.21	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,511.89 / $3,090.30	Professional		$1,122.02	$2,511.89	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $3,388.44	Facility		$1,122.02	$1,659.59	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,290.87 / $2,398.83	Facility		$1,202.26	$2,290.87	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,818.38	Facility		$1,202.26	$1,584.89	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
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