Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,322.20 / $7,920.26	Facility		$2,747.00	$4,322.20	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,795.39 / $3,936.34 / $4,481.00	Professional		$2,795.39	$3,936.34	$4,481.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,363.02 / $3,661.14 / $5,282.40	Facility		$2,363.02	$3,661.14	$5,282.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,609.76 / $3,405.29 / $3,679.48	Facility		$2,609.76	$3,405.29	$3,679.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,363.02 / $3,937.97 / $5,080.49	Facility		$2,363.02	$3,937.97	$5,080.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,735.07 / $9,735.07 / $9,735.07	Facility		$9,735.07	$9,735.07	$9,735.07
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