Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $10,767.20	Facility		$2,747.00	$7,920.26	$10,767.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,022.37 / $9,940.01 / $11,191.45	Professional		$7,022.37	$9,940.01	$11,191.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,090.10 / $8,363.29 / $14,045.52	Facility		$5,090.10	$8,363.29	$14,045.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,304.70 / $8,554.51 / $9,022.21	Facility		$5,304.70	$8,554.51	$9,022.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,828.43 / $10,187.90 / $12,754.77	Facility		$5,828.43	$10,187.90	$12,754.77
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $6,726.13 / $6,726.13 / $6,726.13	Facility	62	$6,726.13	$6,726.13	$6,726.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,709.52 / $23,709.52 / $23,709.52	Facility		$23,709.52	$23,709.52	$23,709.52
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