Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,175.31 / $8,020.21	Facility		$2,747.00	$7,175.31	$8,020.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,174.27 / $7,442.35 / $8,379.33	Professional		$5,174.27	$7,442.35	$8,379.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,389.70 / $6,676.54 / $9,437.86	Facility		$4,389.70	$6,676.54	$9,437.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,699.64 / $6,185.40 / $6,777.05	Facility		$4,699.64	$6,185.40	$6,777.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,389.70 / $7,315.44 / $9,196.76	Facility		$4,389.70	$7,315.44	$9,196.76
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $4,995.16 / $4,995.16 / $4,995.16	Facility	62	$4,995.16	$4,995.16	$4,995.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,328.31 / $17,328.31 / $17,328.31	Facility		$17,328.31	$17,328.31	$17,328.31
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