Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,073.80 / $7,943.28	Facility		$1,905.46	$4,073.80	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $4,168.69	Professional		$2,398.83	$3,162.28	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $4,073.80	Facility		$1,584.89	$2,344.23	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $3,311.31	Facility		$2,398.83	$3,162.28	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $3,890.45	Facility		$1,584.89	$2,238.72	$3,890.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
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