Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $7,943.28	Facility		$1,258.93	$2,398.83	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,398.83	Professional		$1,380.38	$1,819.70	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,511.89	Facility		$1,148.15	$1,584.89	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $1,905.46	Facility		$1,445.44	$1,862.09	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,290.87	Facility		$1,047.13	$1,412.54	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
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