Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,153.38 / $7,920.26	Facility		$2,747.00	$5,153.38	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,746.17 / $5,303.86 / $6,037.74	Professional		$3,746.17	$5,303.86	$6,037.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,300.08 / $4,707.87 / $6,839.26	Facility		$2,300.08	$4,707.87	$6,839.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,243.07 / $4,563.52 / $4,810.60	Facility		$3,243.07	$4,563.52	$4,810.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,300.08 / $5,091.93 / $6,803.22	Facility		$2,300.08	$5,091.93	$6,803.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,652.44 / $12,652.44 / $12,652.44	Facility		$12,652.44	$12,652.44	$12,652.44
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