Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,508.95 / $7,920.26	Facility		$2,747.00	$3,508.95	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,284.13 / $3,247.21 / $3,656.03	Professional		$2,284.13	$3,247.21	$3,656.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,130.32 / $3,123.39 / $4,580.18	Facility		$2,130.32	$3,123.39	$4,580.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,073.17 / $2,782.49 / $2,930.58	Facility		$2,073.17	$2,782.49	$2,930.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,130.32 / $3,322.23 / $4,114.29	Facility		$2,130.32	$3,322.23	$4,114.29
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $559.53 / $559.53 / $559.53	Facility	80	$559.53	$559.53	$559.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $475.60 / $475.60 / $475.60	Facility	AS	$475.60	$475.60	$475.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,616.29 / $7,616.29 / $7,616.29	Facility		$7,616.29	$7,616.29	$7,616.29
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