Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,943.28 / $67,608.30	Facility		$2,691.53	$7,943.28	$67,608.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,311.31	Professional		$1,905.46	$2,511.89	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $7,943.28	Facility		$1,621.81	$2,454.71	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $2,630.27	Facility		$1,995.26	$2,570.40	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,235.94	Facility		$1,412.54	$1,949.84	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
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