Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,479.52 / $7,920.26	Facility		$2,747.00	$5,479.52	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,942.88 / $5,692.06 / $6,408.69	Professional		$3,942.88	$5,692.06	$6,408.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,375.49 / $5,119.12 / $7,257.30	Facility		$3,375.49	$5,119.12	$7,257.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,263.14 / $4,672.08 / $5,012.27	Facility		$3,263.14	$4,672.08	$5,012.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,375.49 / $5,506.38 / $6,920.71	Facility		$3,375.49	$5,506.38	$6,920.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,931.02 / $12,931.02 / $12,931.02	Facility		$12,931.02	$12,931.02	$12,931.02
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