Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,051.26 / $6,736.51 / $7,920.26	Facility		$5,051.26	$6,736.51	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,864.22 / $6,984.08 / $7,863.38	Professional		$4,864.22	$6,984.08	$7,863.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,106.72 / $6,404.43 / $8,829.45	Facility		$4,106.72	$6,404.43	$8,829.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,318.35 / $5,925.52 / $6,188.79	Facility		$4,318.35	$5,925.52	$6,188.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,106.72 / $6,843.85 / $8,609.01	Facility		$4,106.72	$6,843.85	$8,609.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,020.47 / $16,020.47 / $16,020.47	Facility		$16,020.47	$16,020.47	$16,020.47
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