Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,888.44 / $7,943.28	Facility		$3,162.28	$5,888.44	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,786.30 / $6,165.95	Professional		$3,630.78	$4,786.30	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,715.35 / $6,760.83	Facility		$2,344.23	$3,715.35	$6,760.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $5,011.87	Facility		$3,981.07	$4,677.35	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $5,888.44	Facility		$2,344.23	$3,311.31	$5,888.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
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