Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,039.74 / $7,920.26	Facility		$2,747.00	$5,039.74	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,280.97 / $4,621.76 / $5,261.26	Professional		$3,280.97	$4,621.76	$5,261.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,777.51 / $4,237.29 / $6,263.54	Facility		$2,777.51	$4,237.29	$6,263.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,117.27 / $3,996.82 / $4,321.39	Facility		$3,117.27	$3,996.82	$4,321.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,777.51 / $4,628.72 / $5,971.65	Facility		$2,777.51	$4,628.72	$5,971.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,525.59 / $11,525.59 / $11,525.59	Facility		$11,525.59	$11,525.59	$11,525.59
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