Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $7,943.28	Facility		$3,890.45	$6,606.93	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,606.93	Professional		$3,801.89	$5,011.87	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,981.07 / $7,413.10	Facility		$2,691.53	$3,981.07	$7,413.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $5,370.32	Facility		$3,890.45	$5,128.61	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $6,456.54	Facility		$2,754.23	$3,890.45	$6,456.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
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