Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $26,302.68	Facility		$2,344.23	$3,090.30	$26,302.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,090.30	Professional		$1,905.46	$2,511.89	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,388.44	Facility		$1,230.27	$1,819.70	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $2,511.89	Facility		$1,737.80	$2,344.23	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,884.03	Facility		$1,202.26	$1,659.59	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
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