Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,760.83 / $7,943.28	Facility		$3,548.13	$6,760.83	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,370.32 / $6,918.31	Professional		$4,168.69	$5,370.32	$6,918.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,168.69 / $7,585.78	Facility		$2,691.53	$4,168.69	$7,585.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $5,623.41	Facility		$4,265.80	$5,248.07	$5,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,801.89 / $6,606.93	Facility		$2,691.53	$3,801.89	$6,606.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52