Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $7,943.28	Facility		$1,659.59	$2,884.03	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,884.03	Professional		$1,659.59	$2,187.76	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $3,548.13	Facility		$1,348.96	$2,089.30	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $2,454.71	Facility		$1,905.46	$2,290.87	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $2,951.21	Facility		$1,318.26	$1,949.84	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
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