Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,012.36 / $7,920.26	Facility		$2,747.00	$7,012.36	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,076.62 / $7,300.41 / $8,219.53	Professional		$5,076.62	$7,300.41	$8,219.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,257.68 / $6,485.40 / $9,154.01	Facility		$4,257.68	$6,485.40	$9,154.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,601.78 / $6,184.25 / $6,660.47	Facility		$4,601.78	$6,184.25	$6,660.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,257.68 / $7,095.42 / $8,963.51	Facility		$4,257.68	$7,095.42	$8,963.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,913.08 / $16,913.08 / $16,913.08	Facility		$16,913.08	$16,913.08	$16,913.08
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