Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $7,943.28	Facility		$1,584.89	$3,388.44	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $3,467.37	Professional		$1,995.26	$2,630.27	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,388.44	Facility		$1,479.11	$1,995.26	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $2,754.23	Facility		$2,238.72	$2,630.27	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $3,235.94	Facility		$1,445.44	$1,862.09	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
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