Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,616.89 / $7,920.26	Facility		$2,747.00	$4,616.89	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,990.23 / $4,205.91 / $4,787.87	Professional		$2,990.23	$4,205.91	$4,787.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,519.13 / $3,842.51 / $5,416.13	Facility		$2,519.13	$3,842.51	$5,416.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,836.12 / $3,642.64 / $3,940.94	Facility		$2,836.12	$3,642.64	$3,940.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,519.13 / $4,198.13 / $5,416.13	Facility		$2,519.13	$4,198.13	$5,416.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,544.27 / $10,544.27 / $10,544.27	Facility		$10,544.27	$10,544.27	$10,544.27
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