Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.62 / $3,536.10 / $7,920.26	Facility		$485.62	$3,536.10	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,563.35 / $3,642.84 / $4,101.47	Professional		$2,563.35	$3,642.84	$4,101.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,849.08 / $3,449.71 / $5,136.68	Facility		$1,849.08	$3,449.71	$5,136.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,211.17 / $3,121.30 / $3,291.71	Facility		$2,211.17	$3,121.30	$3,291.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,389.16 / $3,725.90 / $4,600.22	Facility		$2,389.16	$3,725.90	$4,600.22
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $627.37 / $627.37 / $627.37	Facility	80	$627.37	$627.37	$627.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $533.26 / $533.26 / $533.26	Facility	AS	$533.26	$533.26	$533.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,572.79 / $8,572.79 / $8,572.79	Facility		$8,572.79	$8,572.79	$8,572.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00