Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $13,182.57	Facility		$2,089.30	$2,570.40	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,137.96 / $2,630.27	Professional		$954.99	$2,137.96	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $13,182.57	Facility		$1,380.38	$1,949.84	$13,182.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,137.96	Facility		$1,698.24	$1,995.26	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,630.27	Facility		$1,202.26	$1,445.44	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
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