Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,019.95 / $7,943.28	Facility		$1,584.89	$3,019.95	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,019.95	Professional		$1,737.80	$2,290.87	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,235.94	Facility		$1,445.44	$2,041.74	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $2,398.83	Facility		$1,862.09	$2,344.23	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,884.03	Facility		$1,288.25	$1,737.80	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
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