Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,818.38 / $7,943.28	Facility		$1,479.11	$2,818.38	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,818.38	Professional		$1,621.81	$2,137.96	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,019.95	Facility		$1,348.96	$1,862.09	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,238.72	Facility		$1,737.80	$2,187.76	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,754.23	Facility		$1,202.26	$1,621.81	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $15,135.61 / $23,988.33	Facility		$2,884.03	$15,135.61	$23,988.33