Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,500.61 / $4,960.92 / $5,647.35	Professional		$3,500.61	$4,960.92	$5,647.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,151.36 / $4,242.18 / $6,378.10	Facility		$2,151.36	$4,242.18	$6,378.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,945.36 / $4,264.37 / $4,484.97	Facility		$2,945.36	$4,264.37	$4,484.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,151.36 / $4,626.35 / $6,378.10	Facility		$2,151.36	$4,626.35	$6,378.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,670.17 / $11,670.17 / $11,670.17	Facility		$11,670.17	$11,670.17	$11,670.17
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