Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,585.78 / $7,943.28	Facility		$4,168.69	$7,585.78	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,165.95 / $7,943.28	Professional		$4,677.35	$6,165.95	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,786.30 / $8,709.64	Facility		$3,019.95	$4,786.30	$8,709.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,025.60 / $6,456.54	Facility		$4,570.88	$6,025.60	$6,456.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,365.16 / $7,585.78	Facility		$3,019.95	$4,365.16	$7,585.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
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