Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,630.78 / $7,943.28	Facility		$1,905.46	$3,630.78	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $3,630.78	Professional		$2,089.30	$2,754.23	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $3,890.45	Facility		$1,737.80	$2,454.71	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $2,951.21	Facility		$2,238.72	$2,818.38	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $3,548.13	Facility		$1,548.82	$2,137.96	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
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