Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,774.84 / $7,920.26	Facility		$2,747.00	$3,774.84	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,457.79 / $3,525.70 / $3,969.58	Professional		$2,457.79	$3,525.70	$3,969.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,038.62 / $3,155.05 / $4,383.03	Facility		$2,038.62	$3,155.05	$4,383.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,230.64 / $2,984.18 / $3,191.21	Facility		$2,230.64	$2,984.18	$3,191.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,038.62 / $3,397.36 / $4,302.18	Facility		$2,038.62	$3,397.36	$4,302.18
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,341.75 / $2,341.75 / $2,341.75	Facility	62	$2,341.75	$2,341.75	$2,341.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,173.52 / $8,173.52 / $8,173.52	Facility		$8,173.52	$8,173.52	$8,173.52
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