Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,586.17 / $7,920.26	Facility		$2,747.00	$4,586.17	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,992.44 / $4,299.04 / $4,840.29	Professional		$2,992.44	$4,299.04	$4,840.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,466.28 / $3,785.30 / $5,302.50	Facility		$2,466.28	$3,785.30	$5,302.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,703.03 / $3,645.33 / $3,907.44	Facility		$2,703.03	$3,645.33	$3,907.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,466.28 / $4,110.06 / $5,259.26	Facility		$2,466.28	$4,110.06	$5,259.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,905.45 / $9,905.45 / $9,905.45	Facility		$9,905.45	$9,905.45	$9,905.45
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