Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,818.38 / $7,943.28	Facility		$1,479.11	$2,818.38	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $2,951.21	Professional		$1,737.80	$2,290.87	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $3,235.94	Facility		$1,122.02	$1,737.80	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,344.23	Facility		$1,659.59	$2,187.76	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,754.23	Facility		$1,122.02	$1,584.89	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility		$5,888.44	$5,888.44	$5,888.44
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