Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.90 / $4,492.49 / $37,689.74	Facility		$480.90	$4,492.49	$37,689.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,920.50 / $4,195.99 / $4,724.26	Professional		$2,920.50	$4,195.99	$4,724.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,414.84 / $3,693.11 / $5,191.91	Facility		$2,414.84	$3,693.11	$5,191.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,574.17 / $3,456.70 / $3,828.38	Facility		$2,574.17	$3,456.70	$3,828.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,414.84 / $4,024.33 / $5,125.05	Facility		$2,414.84	$4,024.33	$5,125.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,669.45 / $9,669.45 / $9,669.45	Facility		$9,669.45	$9,669.45	$9,669.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00