Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $7,943.28	Facility		$2,818.38	$5,370.32	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,073.80 / $5,370.32	Professional		$3,090.30	$4,073.80	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $5,888.44	Facility		$2,630.27	$3,630.78	$5,888.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,265.80 / $4,365.16	Facility		$3,311.31	$4,265.80	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $5,248.07	Facility		$2,290.87	$3,235.94	$5,248.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
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