Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,349.72 / $4,830.24 / $5,438.36	Professional		$3,349.72	$4,830.24	$5,438.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,892.04 / $4,423.68 / $6,217.89	Facility		$2,892.04	$4,423.68	$6,217.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,792.59 / $3,994.90 / $4,281.97	Facility		$2,792.59	$3,994.90	$4,281.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,892.04 / $4,754.22 / $5,954.38	Facility		$2,892.04	$4,754.22	$5,954.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,028.73 / $11,028.73 / $11,028.73	Facility		$11,028.73	$11,028.73	$11,028.73
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