Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $7,943.28	Facility		$1,698.24	$3,162.28	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,311.31	Professional		$1,905.46	$2,511.89	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,630.78	Facility		$1,258.93	$1,949.84	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $2,630.27	Facility		$1,905.46	$2,454.71	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $3,090.30	Facility		$1,258.93	$1,778.28	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
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