Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,943.28 / $8,317.64	Facility		$4,365.16	$7,943.28	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,456.54 / $8,317.64	Professional		$4,897.79	$6,456.54	$8,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,011.87 / $9,120.11	Facility		$3,162.28	$5,011.87	$9,120.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,309.57 / $6,760.83	Facility		$4,786.30	$6,309.57	$6,760.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $7,943.28	Facility		$3,235.94	$4,570.88	$7,943.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Facility		$17,378.01	$17,378.01	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52