Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,189.51 / $8,110.20	Facility		$2,747.00	$7,189.51	$8,110.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,276.39 / $7,557.83 / $8,509.35	Professional		$5,276.39	$7,557.83	$8,509.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,366.22 / $6,809.12 / $9,420.76	Facility		$4,366.22	$6,809.12	$9,420.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,850.33 / $6,352.45 / $6,930.48	Facility		$4,850.33	$6,352.45	$6,930.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,366.22 / $7,276.31 / $9,387.37	Facility		$4,366.22	$7,276.31	$9,387.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,763.07 / $17,763.07 / $17,763.07	Facility		$17,763.07	$17,763.07	$17,763.07
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