Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,943.28 / $9,120.11	Facility		$1,380.38	$7,943.28	$9,120.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,079.46 / $9,332.54	Professional		$5,370.32	$7,079.46	$9,332.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,623.41 / $10,232.93	Facility		$3,467.37	$5,623.41	$10,232.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,079.46 / $7,585.78	Facility		$5,754.40	$7,079.46	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $8,912.51	Facility		$3,548.13	$5,128.61	$8,912.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Facility		$19,498.45	$19,498.45	$19,498.45
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