Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.14 / $7,920.26 / $11,398.20	Facility		$260.14	$7,920.26	$11,398.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,420.19 / $10,497.01 / $11,818.57	Professional		$7,420.19	$10,497.01	$11,818.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,475.51 / $8,862.90 / $14,884.58	Facility		$5,475.51	$8,862.90	$14,884.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,649.04 / $9,039.15 / $9,626.08	Facility		$5,649.04	$9,039.15	$9,626.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,304.53 / $10,805.60 / $13,527.64	Facility		$6,304.53	$10,805.60	$13,527.64
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $7,130.14 / $7,130.14 / $7,130.14	Facility	62	$7,130.14	$7,130.14	$7,130.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25,207.23 / $25,207.23 / $25,207.23	Facility		$25,207.23	$25,207.23	$25,207.23
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