Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,162.28 / $7,943.28	Facility		$1,659.59	$3,162.28	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,162.28	Professional		$1,819.70	$2,398.83	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $3,548.13	Facility		$1,548.82	$2,187.76	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $2,570.40	Facility		$1,905.46	$2,454.71	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,090.30	Facility		$1,348.96	$1,862.09	$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