Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $7,943.28 / $8,511.38	Facility		$4,677.35	$7,943.28	$8,511.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $7,244.36 / $8,709.64	Professional		$3,235.94	$7,244.36	$8,709.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,606.93 / $10,000.00	Facility		$4,677.35	$6,606.93	$10,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $6,606.93 / $7,079.46	Facility		$5,248.07	$6,606.93	$7,079.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,370.32 / $8,709.64	Facility		$3,981.07	$5,370.32	$8,709.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $19,054.61 / $19,054.61	Facility		$19,054.61	$19,054.61	$19,054.61
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