Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $7,943.28	Facility		$4,073.80	$7,413.10	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,495.41 / $7,413.10	Professional		$4,265.80	$5,495.41	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,073.80 / $8,128.31	Facility		$2,884.03	$4,073.80	$8,128.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,754.40 / $6,025.60	Facility		$4,466.84	$5,754.40	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,168.69 / $7,413.10	Facility		$2,951.21	$4,168.69	$7,413.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $15,848.93 / $15,848.93	Facility		$15,848.93	$15,848.93	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52