Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $10,012.60	Facility		$2,747.00	$7,920.26	$10,012.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,512.20 / $9,319.64 / $10,492.97	Professional		$6,512.20	$9,319.64	$10,492.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,174.17 / $8,374.17 / $11,644.97	Facility		$5,174.17	$8,374.17	$11,644.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,823.77 / $7,933.04 / $8,566.62	Facility		$5,823.77	$7,933.04	$8,566.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,369.78 / $8,948.74 / $11,545.03	Facility		$5,369.78	$8,948.74	$11,545.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,606.13 / $1,606.13 / $1,606.13	Facility	80	$1,606.13	$1,606.13	$1,606.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,089.39 / $22,089.39 / $22,089.39	Facility		$22,089.39	$22,089.39	$22,089.39
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