Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,643.98 / $5,177.56 / $5,829.41	Professional		$3,643.98	$5,177.56	$5,829.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,965.83 / $4,625.21 / $6,376.53	Facility		$2,965.83	$4,625.21	$6,376.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,209.81 / $4,317.10 / $4,566.05	Facility		$3,209.81	$4,317.10	$4,566.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,965.83 / $5,018.35 / $6,165.42	Facility		$2,965.83	$5,018.35	$6,165.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,731.42 / $11,731.42 / $11,731.42	Facility		$11,731.42	$11,731.42	$11,731.42
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