Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,943.28	Facility		$1,318.26	$2,884.03	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,951.21	Professional		$1,698.24	$2,238.72	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,884.03	Facility		$1,122.02	$1,621.81	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,344.23	Facility		$1,584.89	$2,187.76	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,691.53	Facility		$1,122.02	$1,584.89	$2,691.53
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 $2,137.96 / $11,748.98 / $26,302.68	Facility		$2,137.96	$11,748.98	$26,302.68