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 $3,458.57 / $4,975.91 / $5,604.16	Professional		$3,458.57	$4,975.91	$5,604.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,947.71 / $4,596.95 / $6,337.58	Facility		$2,947.71	$4,596.95	$6,337.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,025.22 / $4,121.26 / $4,359.02	Facility		$3,025.22	$4,121.26	$4,359.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,947.71 / $4,835.89 / $6,105.26	Facility		$2,947.71	$4,835.89	$6,105.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,195.51 / $11,195.51 / $11,195.51	Facility		$11,195.51	$11,195.51	$11,195.51
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