Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $10,537.10 / $14,026.08	Facility		$5,116.62	$10,537.10	$14,026.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,460.16 / $11,108.95 / $13,592.57	Professional		$8,460.16	$11,108.95	$13,592.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,660.68 / $8,707.25 / $13,434.04	Facility		$5,660.68	$8,707.25	$13,434.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,092.62 / $9,768.66 / $10,821.84	Facility		$7,092.62	$9,768.66	$10,821.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,822.87 / $9,941.93 / $13,767.36	Facility		$5,822.87	$9,941.93	$13,767.36
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $8,028.99 / $8,028.99 / $8,028.99	Facility	62	$8,028.99	$8,028.99	$8,028.99
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $2,055.42 / $2,055.42 / $2,055.42	Facility	80	$2,055.42	$2,055.42	$2,055.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,654.31 / $27,654.31 / $27,654.31	Facility		$27,654.31	$27,654.31	$27,654.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00