Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $7,943.28	Facility		$1,621.81	$3,162.28	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,162.28	Professional		$1,819.70	$2,344.23	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,311.31	Facility		$1,513.56	$2,089.30	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $2,511.89	Facility		$1,905.46	$2,454.71	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,019.95	Facility		$1,348.96	$1,819.70	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
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