Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,539.35 / $7,920.26 / $20,400.00	Facility		$4,539.35	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,594.04 / $4,443.54 / $5,325.76	Professional		$3,594.04	$4,443.54	$5,325.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,679.16 / $3,406.63 / $6,469.02	Facility		$2,679.16	$3,406.63	$6,469.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,201.09 / $4,332.17 / $4,521.83	Facility		$3,201.09	$4,332.17	$4,521.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,679.16 / $3,793.03 / $6,469.02	Facility		$2,679.16	$3,793.03	$6,469.02
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $3,366.58 / $3,366.58 / $3,366.58	Facility	62	$3,366.58	$3,366.58	$3,366.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,768.70 / $11,768.70 / $11,768.70	Facility		$11,768.70	$11,768.70	$11,768.70
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