Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $7,943.28	Facility		$1,445.44	$2,630.27	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,691.53	Professional		$1,548.82	$2,041.74	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $3,162.28	Facility		$1,047.13	$1,698.24	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,137.96	Facility		$1,584.89	$1,995.26	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,630.27	Facility		$1,047.13	$1,479.11	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility		$5,248.07	$5,248.07	$5,248.07
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