Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,203.38 / $7,920.26 / $59,622.08	Facility		$4,203.38	$7,920.26	$59,622.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,412.51 / $4,896.17 / $5,512.59	Professional		$3,412.51	$4,896.17	$5,512.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,826.45 / $4,374.22 / $6,076.87	Facility		$2,826.45	$4,374.22	$6,076.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,120.18 / $4,157.06 / $4,468.22	Facility		$3,120.18	$4,157.06	$4,468.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,826.45 / $4,710.28 / $6,049.72	Facility		$2,826.45	$4,710.28	$6,049.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,458.14 / $11,458.14 / $11,458.14	Facility		$11,458.14	$11,458.14	$11,458.14
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