Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $21,877.62	Facility		$2,137.96	$2,691.53	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,754.23	Professional		$1,584.89	$2,089.30	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,162.28	Facility		$1,258.93	$1,862.09	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,187.76	Facility		$1,548.82	$2,041.74	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,570.40	Facility		$1,071.52	$1,513.56	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
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