Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,587.75 / $8,433.28	Facility		$2,747.00	$7,587.75	$8,433.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,480.01 / $7,730.73 / $8,800.41	Professional		$5,480.01	$7,730.73	$8,800.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,814.36 / $6,896.98 / $10,149.20	Facility		$3,814.36	$6,896.98	$10,149.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,124.56 / $6,675.64 / $7,153.60	Facility		$5,124.56	$6,675.64	$7,153.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,814.36 / $7,642.93 / $9,949.20	Facility		$3,814.36	$7,642.93	$9,949.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,877.47 / $18,877.47 / $18,877.47	Facility		$18,877.47	$18,877.47	$18,877.47
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