Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $23,988.33	Facility		$2,089.30	$2,630.27	$23,988.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,570.40	Professional		$1,479.11	$1,949.84	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,548.13	Facility		$1,230.27	$1,819.70	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,089.30	Facility		$1,584.89	$1,995.26	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,511.89	Facility		$1,122.02	$1,479.11	$2,511.89
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