Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,993.28 / $7,920.26	Facility		$2,747.00	$4,993.28	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,207.93 / $4,558.02 / $5,188.71	Professional		$3,207.93	$4,558.02	$5,188.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,976.64 / $3,950.49 / $5,836.43	Facility		$1,976.64	$3,950.49	$5,836.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,519.44 / $3,904.55 / $4,164.05	Facility		$2,519.44	$3,904.55	$4,164.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,976.64 / $4,277.32 / $5,710.95	Facility		$1,976.64	$4,277.32	$5,710.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,632.98 / $10,632.98 / $10,632.98	Facility		$10,632.98	$10,632.98	$10,632.98
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