Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,335.11 / $7,920.26	Facility		$2,747.00	$6,335.11	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,550.35 / $6,546.09 / $7,370.24	Professional		$4,550.35	$6,546.09	$7,370.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,865.13 / $5,785.72 / $8,310.03	Facility		$3,865.13	$5,785.72	$8,310.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,012.39 / $5,409.61 / $6,023.30	Facility		$4,012.39	$5,409.61	$6,023.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,865.13 / $6,441.24 / $8,027.73	Facility		$3,865.13	$6,441.24	$8,027.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,638.14 / $14,638.14 / $14,638.14	Facility		$14,638.14	$14,638.14	$14,638.14
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