Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,067.18 / $7,920.26	Facility		$2,747.00	$5,067.18	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,283.86 / $4,720.33 / $5,332.25	Professional		$3,283.86	$4,720.33	$5,332.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,053.82 / $4,356.26 / $6,680.76	Facility		$2,053.82	$4,356.26	$6,680.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,715.94 / $3,903.80 / $4,131.22	Facility		$2,715.94	$3,903.80	$4,131.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,107.33 / $4,845.88 / $5,822.02	Facility		$3,107.33	$4,845.88	$5,822.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,828.21 / $10,828.21 / $10,828.21	Facility		$10,828.21	$10,828.21	$10,828.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00