Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,240.09 / $7,920.26	Facility		$2,747.00	$5,240.09	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,774.07 / $5,452.61 / $6,139.10	Professional		$3,774.07	$5,452.61	$6,139.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,139.10 / $4,779.16 / $6,904.23	Facility		$3,139.10	$4,779.16	$6,904.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,120.35 / $4,479.14 / $4,943.93	Facility		$3,120.35	$4,479.14	$4,943.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,211.27 / $5,321.50 / $6,664.32	Facility		$3,211.27	$5,321.50	$6,664.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,563.67 / $12,563.67 / $12,563.67	Facility		$12,563.67	$12,563.67	$12,563.67
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