Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,970.69 / $12,274.80 / $26,674.65	Facility		$1,970.69	$12,274.80	$26,674.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,435.53 / $2,059.39 / $2,318.67	Professional		$1,435.53	$2,059.39	$2,318.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,239.74 / $1,791.84 / $2,665.44	Facility		$1,239.74	$1,791.84	$2,665.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,254.85 / $1,703.14 / $1,833.12	Facility		$1,254.85	$1,703.14	$1,833.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,239.74 / $2,161.55 / $9,512.00	Facility		$1,239.74	$2,161.55	$9,512.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $348.31 / $348.31 / $348.31	Facility	80	$348.31	$348.31	$348.31
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $296.06 / $296.06 / $296.06	Facility	AS	$296.06	$296.06	$296.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,761.83 / $19,243.91 / $24,411.82	Facility		$14,761.83	$19,243.91	$24,411.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00