Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,245.85 / $7,920.26	Facility		$2,747.00	$5,245.85	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,787.57 / $5,363.70 / $6,105.86	Professional		$3,787.57	$5,363.70	$6,105.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,195.37 / $4,766.93 / $6,957.74	Facility		$3,195.37	$4,766.93	$6,957.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,493.73 / $4,613.96 / $4,939.52	Facility		$3,493.73	$4,613.96	$4,939.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,195.37 / $5,278.65 / $6,916.92	Facility		$3,195.37	$5,278.65	$6,916.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,826.30 / $12,826.30 / $12,826.30	Facility		$12,826.30	$12,826.30	$12,826.30
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