Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,539.55 / $7,920.26 / $20,400.00	Facility		$4,539.55	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,627.84 / $4,485.33 / $5,377.81	Professional		$3,627.84	$4,485.33	$5,377.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,680.68 / $3,406.04 / $6,581.94	Facility		$2,680.68	$3,406.04	$6,581.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,236.94 / $4,380.64 / $4,570.74	Facility		$3,236.94	$4,380.64	$4,570.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,705.34 / $3,792.37 / $6,581.94	Facility		$2,705.34	$3,792.37	$6,581.94
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $3,390.17 / $3,390.17 / $3,390.17	Facility	62	$3,390.17	$3,390.17	$3,390.17
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $867.88 / $867.88 / $867.88	Facility	80	$867.88	$867.88	$867.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,894.68 / $11,894.68 / $11,894.68	Facility		$11,894.68	$11,894.68	$11,894.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00