Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $9,609.78	Facility		$2,747.00	$7,920.26	$9,609.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,236.72 / $8,813.00 / $10,032.44	Professional		$6,236.72	$8,813.00	$10,032.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,821.86 / $7,849.37 / $11,463.56	Facility		$3,821.86	$7,849.37	$11,463.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,583.91 / $7,597.46 / $8,052.06	Facility		$5,583.91	$7,597.46	$8,052.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,821.86 / $8,549.15 / $11,342.93	Facility		$3,821.86	$8,549.15	$11,342.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,191.47 / $21,191.47 / $21,191.47	Facility		$21,191.47	$21,191.47	$21,191.47
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