Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,807.12 / $7,920.26	Facility		$2,747.00	$6,807.12	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,765.47 / $6,921.09 / $7,792.45	Professional		$4,765.47	$6,921.09	$7,792.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,787.59 / $6,009.29 / $8,700.58	Facility		$3,787.59	$6,009.29	$8,700.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,695.59 / $5,610.24 / $6,092.31	Facility		$3,695.59	$5,610.24	$6,092.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,046.78 / $6,743.96 / $8,494.23	Facility		$4,046.78	$6,743.96	$8,494.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,024.97 / $15,024.97 / $15,024.97	Facility		$15,024.97	$15,024.97	$15,024.97
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