Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $7,943.28	Facility		$2,691.53	$5,011.87	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,073.80 / $5,248.07	Professional		$3,090.30	$4,073.80	$5,248.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,090.30 / $5,754.40	Facility		$1,995.26	$3,090.30	$5,754.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $4,265.80	Facility		$3,019.95	$3,890.45	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $5,011.87	Facility		$1,995.26	$2,884.03	$5,011.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
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