Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.95 / $6,037.78 / $7,920.26	Facility		$110.95	$6,037.78	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,908.66 / $7,032.37 / $7,917.74	Professional		$4,908.66	$7,032.37	$7,917.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,052.89 / $6,320.48 / $8,779.32	Facility		$4,052.89	$6,320.48	$8,779.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,486.30 / $5,915.00 / $6,463.49	Facility		$4,486.30	$5,915.00	$6,463.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,052.89 / $6,754.14 / $8,713.70	Facility		$4,052.89	$6,754.14	$8,713.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,444.57 / $16,444.57 / $16,444.57	Facility		$16,444.57	$16,444.57	$16,444.57
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