Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,888.44 / $7,943.28	Facility		$3,019.95	$5,888.44	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $5,754.40	Professional		$3,311.31	$4,365.16	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,890.45 / $6,309.57	Facility		$2,818.38	$3,890.45	$6,309.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,570.88 / $4,677.35	Facility		$3,548.13	$4,570.88	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $5,754.40	Facility		$2,454.71	$3,388.44	$5,754.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Facility		$12,022.64	$12,022.64	$12,022.64
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