Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,858.11 / $14,035.68 / $35,576.64	Facility		$1,858.11	$14,035.68	$35,576.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,351.67 / $1,928.14 / $2,170.89	Professional		$1,351.67	$1,928.14	$2,170.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.08 / $1,961.98 / $2,704.87	Facility		$1,258.08	$1,961.98	$2,704.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,209.59 / $1,646.59 / $1,730.44	Facility		$1,209.59	$1,646.59	$1,730.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.08 / $2,062.55 / $2,704.87	Facility		$1,258.08	$2,062.55	$2,704.87
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $328.91 / $328.91 / $328.91	Facility	80	$328.91	$328.91	$328.91
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $279.57 / $279.57 / $279.57	Facility	AS	$279.57	$279.57	$279.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,489.57 / $4,489.57 / $4,489.57	Facility		$4,489.57	$4,489.57	$4,489.57
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