Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,136.93 / $7,920.26	Facility		$2,747.00	$5,136.93	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,742.96 / $5,316.45 / $5,985.79	Professional		$3,742.96	$5,316.45	$5,985.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,047.78 / $4,753.01 / $6,552.73	Facility		$3,047.78	$4,753.01	$6,552.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,282.93 / $4,434.35 / $4,673.92	Facility		$3,282.93	$4,434.35	$4,673.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,047.78 / $5,172.26 / $6,306.11	Facility		$3,047.78	$5,172.26	$6,306.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,004.71 / $12,004.71 / $12,004.71	Facility		$12,004.71	$12,004.71	$12,004.71
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