Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,233.56 / $7,920.26	Facility		$2,747.00	$6,233.56	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,489.08 / $6,479.50 / $7,295.26	Professional		$4,489.08	$6,479.50	$7,295.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,805.65 / $5,704.45 / $8,182.15	Facility		$3,805.65	$5,704.45	$8,182.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,874.68 / $5,302.05 / $5,844.41	Facility		$3,874.68	$5,302.05	$5,844.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,805.65 / $6,332.04 / $7,913.88	Facility		$3,805.65	$6,332.04	$7,913.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,845.75 / $14,845.75 / $14,845.75	Facility		$14,845.75	$14,845.75	$14,845.75
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