Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,715.35 / $7,943.28	Facility		$1,949.84	$3,715.35	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $3,890.45	Professional		$2,344.23	$3,019.95	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $4,168.69	Facility		$1,513.56	$2,290.87	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,090.30	Facility		$2,238.72	$2,884.03	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,630.78	Facility		$1,479.11	$2,089.30	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
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