Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,724.55 / $3,308.91 / $7,920.26	Facility		$2,724.55	$3,308.91	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,153.26 / $3,058.51 / $3,443.58	Professional		$2,153.26	$3,058.51	$3,443.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,873.01 / $2,939.04 / $4,325.76	Facility		$1,873.01	$2,939.04	$4,325.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,965.13 / $2,623.07 / $2,766.43	Facility		$1,965.13	$2,623.07	$2,766.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,011.98 / $3,137.68 / $3,891.22	Facility		$2,011.98	$3,137.68	$3,891.22
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,062.21 / $2,062.21 / $2,062.21	Facility	62	$2,062.21	$2,062.21	$2,062.21
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $527.91 / $527.91 / $527.91	Facility	80	$527.91	$527.91	$527.91
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $448.74 / $448.74 / $448.74	Facility	AS	$448.74	$448.74	$448.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,227.68 / $7,227.68 / $7,227.68	Facility		$7,227.68	$7,227.68	$7,227.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00