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 $3,515.82 / $5,046.68 / $5,682.05	Professional		$3,515.82	$5,046.68	$5,682.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,917.77 / $4,506.77 / $6,273.21	Facility		$2,917.77	$4,506.77	$6,273.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,024.65 / $4,250.39 / $4,628.35	Facility		$3,024.65	$4,250.39	$4,628.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,917.77 / $4,862.46 / $6,238.54	Facility		$2,917.77	$4,862.46	$6,238.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,695.94 / $11,695.94 / $11,695.94	Facility		$11,695.94	$11,695.94	$11,695.94
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