Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $7,943.28 / $10,232.93	Facility		$5,248.07	$7,943.28	$10,232.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,762.47 / $10,232.93	Professional		$6,025.60	$7,762.47	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,309.57 / $11,481.54	Facility		$3,981.07	$6,309.57	$11,481.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $7,762.47 / $8,511.38	Facility		$6,165.95	$7,762.47	$8,511.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,754.40 / $10,000.00	Facility		$3,981.07	$5,754.40	$10,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $21,877.62 / $21,877.62	Facility		$21,877.62	$21,877.62	$21,877.62
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