Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,300.57 / $7,920.26	Facility		$2,747.00	$6,300.57	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,571.46 / $6,596.76 / $7,427.28	Professional		$4,571.46	$6,596.76	$7,427.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,849.00 / $5,799.97 / $8,275.35	Facility		$3,849.00	$5,799.97	$8,275.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,069.89 / $5,560.33 / $5,927.49	Facility		$4,069.89	$5,560.33	$5,927.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,849.00 / $6,414.36 / $8,027.73	Facility		$3,849.00	$6,414.36	$8,027.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,040.93 / $15,040.93 / $15,040.93	Facility		$15,040.93	$15,040.93	$15,040.93
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