Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $9,867.86	Facility		$2,747.00	$7,920.26	$9,867.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,384.06 / $9,125.73 / $10,274.65	Professional		$6,384.06	$9,125.73	$10,274.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,300.02 / $8,265.37 / $11,541.31	Facility		$5,300.02	$8,265.37	$11,541.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,905.80 / $7,776.94 / $8,454.73	Facility		$5,905.80	$7,776.94	$8,454.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,300.02 / $8,832.48 / $11,395.04	Facility		$5,300.02	$8,832.48	$11,395.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,739.78 / $21,739.78 / $21,739.78	Facility		$21,739.78	$21,739.78	$21,739.78
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