Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,495.41 / $7,943.28	Facility		$2,951.21	$5,495.41	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,466.84 / $5,754.40	Professional		$3,388.44	$4,466.84	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $6,309.57	Facility		$2,570.40	$3,467.37	$6,309.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $4,677.35	Facility		$3,548.13	$4,365.16	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $5,495.41	Facility		$2,187.76	$3,162.28	$5,495.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Facility		$12,022.64	$12,022.64	$12,022.64
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility	50	$17,782.79	$17,782.79	$17,782.79
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