Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,943.28	Facility		$1,412.54	$2,884.03	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $2,951.21	Professional		$1,819.70	$2,398.83	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $3,090.30	Facility		$1,288.25	$1,778.28	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,511.89	Facility		$1,862.09	$2,238.72	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,884.03	Facility		$1,258.93	$1,659.59	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $25,703.96 / $52,480.75	Facility		$3,311.31	$25,703.96	$52,480.75