Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.10 / $7,174.83 / $8,880.83	Facility		$1,389.10	$7,174.83	$8,880.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,791.42 / $8,287.95 / $9,331.41	Professional		$5,791.42	$8,287.95	$9,331.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,813.85 / $7,507.20 / $10,349.78	Facility		$4,813.85	$7,507.20	$10,349.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,192.87 / $7,016.16 / $7,537.50	Facility		$5,192.87	$7,016.16	$7,537.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,813.85 / $8,022.28 / $10,343.58	Facility		$4,813.85	$8,022.28	$10,343.58
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $5,563.28 / $5,563.28 / $5,563.28	Facility	62	$5,563.28	$5,563.28	$5,563.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,645.83 / $19,645.83 / $19,645.83	Facility		$19,645.83	$19,645.83	$19,645.83
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