Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,291.45 / $7,920.26	Facility		$2,747.00	$6,291.45	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,539.39 / $6,522.53 / $7,343.71	Professional		$4,539.39	$6,522.53	$7,343.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,848.40 / $6,001.58 / $8,276.71	Facility		$3,848.40	$6,001.58	$8,276.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,052.81 / $5,529.81 / $5,889.76	Facility		$4,052.81	$5,529.81	$5,889.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,848.40 / $6,413.36 / $8,274.06	Facility		$3,848.40	$6,413.36	$8,274.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,500.57 / $15,500.57 / $15,500.57	Facility		$15,500.57	$15,500.57	$15,500.57
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