Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $7,943.28	Facility		$1,819.70	$3,311.31	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $3,388.44	Professional		$2,041.74	$2,691.53	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,801.89	Facility		$1,479.11	$2,238.72	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $2,691.53	Facility		$2,041.74	$2,570.40	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,235.94	Facility		$1,445.44	$2,041.74	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
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