Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,165.95 / $7,943.28	Facility		$3,388.44	$6,165.95	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,677.35 / $6,165.95	Professional		$3,548.13	$4,677.35	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,715.35 / $7,244.36	Facility		$2,398.83	$3,715.35	$7,244.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $5,011.87	Facility		$3,548.13	$4,786.30	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $6,025.60	Facility		$2,398.83	$3,388.44	$6,025.60
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