Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,456.54 / $7,943.28	Facility		$3,890.45	$6,456.54	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,248.07 / $6,309.57	Professional		$3,801.89	$5,248.07	$6,309.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $6,025.60	Facility		$2,570.40	$3,548.13	$6,025.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,897.79 / $5,248.07	Facility		$3,548.13	$4,897.79	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $6,025.60	Facility		$2,454.71	$3,548.13	$6,025.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
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