Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,676.28 / $7,920.26	Facility		$2,747.00	$3,676.28	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,391.17 / $3,428.99 / $3,860.69	Professional		$2,391.17	$3,428.99	$3,860.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,989.00 / $3,101.85 / $4,282.75	Facility		$1,989.00	$3,101.85	$4,282.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,161.06 / $2,912.87 / $3,078.65	Facility		$2,161.06	$2,912.87	$3,078.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,989.00 / $3,314.67 / $4,276.35	Facility		$1,989.00	$3,314.67	$4,276.35
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,258.44 / $2,258.44 / $2,258.44	Facility	62	$2,258.44	$2,258.44	$2,258.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,020.87 / $8,020.87 / $8,020.87	Facility		$8,020.87	$8,020.87	$8,020.87
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