Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,656.32 / $7,920.26	Facility		$2,747.00	$6,656.32	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,773.62 / $6,850.52 / $7,713.00	Professional		$4,773.62	$6,850.52	$7,713.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,077.19 / $6,358.38 / $8,765.95	Facility		$4,077.19	$6,358.38	$8,765.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,261.66 / $5,776.45 / $6,078.91	Facility		$4,261.66	$5,776.45	$6,078.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,077.19 / $6,767.15 / $8,498.86	Facility		$4,077.19	$6,767.15	$8,498.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,699.31 / $15,699.31 / $15,699.31	Facility		$15,699.31	$15,699.31	$15,699.31
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