Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $11,748.98 / $14,125.38	Facility		$7,943.28	$11,748.98	$14,125.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,589.25	Professional		$7,413.10	$10,232.93	$12,589.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $7,244.36 / $12,589.25	Facility		$5,248.07	$7,244.36	$12,589.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $10,232.93 / $10,715.19	Facility		$7,943.28	$10,232.93	$10,715.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,244.36 / $12,302.69	Facility		$5,011.87	$7,244.36	$12,302.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,542.29 / $27,542.29 / $27,542.29	Facility		$27,542.29	$27,542.29	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78