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 $3,450.07 / $4,926.74 / $5,547.02	Professional		$3,450.07	$4,926.74	$5,547.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,502.69 / $4,170.72 / $5,873.86	Facility		$2,502.69	$4,170.72	$5,873.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,043.88 / $4,140.91 / $4,370.41	Facility		$3,043.88	$4,140.91	$4,370.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,502.69 / $4,649.43 / $5,545.90	Facility		$2,502.69	$4,649.43	$5,545.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,250.52 / $11,250.52 / $11,250.52	Facility		$11,250.52	$11,250.52	$11,250.52
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