Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,092.10 / $5,672.62 / $7,920.26	Facility		$5,092.10	$5,672.62	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,182.14 / $5,491.52 / $6,783.07	Professional		$4,182.14	$5,491.52	$6,783.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,793.94 / $4,304.28 / $7,014.20	Facility		$2,793.94	$4,304.28	$7,014.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,237.84 / $4,883.63 / $5,300.37	Facility		$3,237.84	$4,883.63	$5,300.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,823.37 / $5,150.64 / $7,014.20	Facility		$2,823.37	$5,150.64	$7,014.20
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $996.11 / $996.11 / $996.11	Facility	80	$996.11	$996.11	$996.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,138.64 / $13,138.64 / $13,138.64	Facility		$13,138.64	$13,138.64	$13,138.64
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