Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,793.99 / $7,920.26	Facility		$2,747.00	$6,793.99	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,918.38 / $7,084.09 / $7,975.98	Professional		$4,918.38	$7,084.09	$7,975.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,178.89 / $6,344.28 / $8,984.61	Facility		$4,178.89	$6,344.28	$8,984.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,443.43 / $5,991.49 / $6,436.69	Facility		$4,443.43	$5,991.49	$6,436.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,178.89 / $6,964.12 / $8,765.43	Facility		$4,178.89	$6,964.12	$8,765.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,508.46 / $16,508.46 / $16,508.46	Facility		$16,508.46	$16,508.46	$16,508.46
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