Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,721.35 / $7,920.26	Facility		$2,747.00	$4,721.35	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,072.80 / $4,357.89 / $4,960.88	Professional		$3,072.80	$4,357.89	$4,960.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,889.85 / $3,320.34 / $5,596.18	Facility		$1,889.85	$3,320.34	$5,596.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,274.16 / $3,743.24 / $3,947.64	Facility		$2,274.16	$3,743.24	$3,947.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,889.85 / $4,044.73 / $5,576.26	Facility		$1,889.85	$4,044.73	$5,576.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,336.65 / $10,336.65 / $10,336.65	Facility		$10,336.65	$10,336.65	$10,336.65
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