Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,445.94 / $3,061.27 / $7,920.26	Facility		$2,445.94	$3,061.27	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,846.94 / $2,639.68 / $2,972.02	Professional		$1,846.94	$2,639.68	$2,972.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,425.55 / $2,324.51 / $3,222.01	Facility		$1,425.55	$2,324.51	$3,222.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,665.51 / $2,225.19 / $2,509.82	Facility		$1,665.51	$2,225.19	$2,509.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,425.55 / $2,581.67 / $3,167.25	Facility		$1,425.55	$2,581.67	$3,167.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,184.25 / $6,184.25 / $6,184.25	Facility		$6,184.25	$6,184.25	$6,184.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $49,245.00	Facility		$3,340.00	$26,100.00	$49,245.00