Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,950.21 / $7,920.26	Facility		$2,747.00	$5,950.21	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,264.68 / $6,131.99 / $6,938.46	Professional		$4,264.68	$6,131.99	$6,938.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,674.06 / $5,705.83 / $8,376.81	Facility		$3,674.06	$5,705.83	$8,376.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,723.53 / $5,055.14 / $5,355.98	Facility		$3,723.53	$5,055.14	$5,355.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,896.19 / $6,076.11 / $7,491.81	Facility		$3,896.19	$6,076.11	$7,491.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,772.14 / $13,772.14 / $13,772.14	Facility		$13,772.14	$13,772.14	$13,772.14
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