Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,416.26 / $7,920.26	Facility		$2,747.00	$5,416.26	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,928.06 / $5,528.53 / $6,293.50	Professional		$3,928.06	$5,528.53	$6,293.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,292.82 / $5,057.01 / $7,446.45	Facility		$3,292.82	$5,057.01	$7,446.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,699.16 / $4,785.08 / $5,185.80	Facility		$3,699.16	$4,785.08	$5,185.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,292.82 / $5,487.48 / $7,079.56	Facility		$3,292.82	$5,487.48	$7,079.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,647.94 / $13,647.94 / $13,647.94	Facility		$13,647.94	$13,647.94	$13,647.94
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