Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,798.79 / $7,920.26	Facility		$2,747.00	$3,798.79	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,452.17 / $3,525.47 / $3,969.32	Professional		$2,452.17	$3,525.47	$3,969.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.60 / $3,258.73 / $4,623.37	Facility		$2,089.60	$3,258.73	$4,623.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,237.91 / $2,987.20 / $3,175.60	Facility		$2,237.91	$2,987.20	$3,175.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.60 / $3,482.32 / $4,492.64	Facility		$2,089.60	$3,482.32	$4,492.64
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,343.76 / $2,343.76 / $2,343.76	Facility	62	$2,343.76	$2,343.76	$2,343.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,255.15 / $8,255.15 / $8,255.15	Facility		$8,255.15	$8,255.15	$8,255.15
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