Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,450.67 / $7,920.26	Facility		$2,747.00	$4,450.67	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,895.08 / $4,076.89 / $4,641.00	Professional		$2,895.08	$4,076.89	$4,641.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,423.16 / $3,766.71 / $5,478.63	Facility		$2,423.16	$3,766.71	$5,478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,293.73 / $3,526.74 / $3,794.88	Facility		$2,293.73	$3,526.74	$3,794.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,423.16 / $4,038.20 / $5,209.79	Facility		$2,423.16	$4,038.20	$5,209.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,056.28 / $10,056.28 / $10,056.28	Facility		$10,056.28	$10,056.28	$10,056.28
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