Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,632.11 / $7,920.26	Facility		$2,747.00	$5,632.11	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,051.13 / $5,818.52 / $6,560.52	Professional		$4,051.13	$5,818.52	$6,560.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,612.96 / $5,406.33 / $8,200.29	Facility		$2,612.96	$5,406.33	$8,200.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,130.26 / $4,831.93 / $5,092.00	Facility		$3,130.26	$4,831.93	$5,092.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,814.09 / $5,948.07 / $7,182.66	Facility		$3,814.09	$5,948.07	$7,182.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,362.21 / $13,362.21 / $13,362.21	Facility		$13,362.21	$13,362.21	$13,362.21
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