Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.55 / $2,747.00 / $7,920.26	Facility		$303.55	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.10 / $334.39 / $376.48	Professional		$237.10	$334.39	$376.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.66 / $347.24 / $478.72	Facility		$222.66	$347.24	$478.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.38 / $288.83 / $310.76	Facility		$213.38	$288.83	$310.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.66 / $369.38 / $478.72	Facility		$222.66	$369.38	$478.72
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $59.10 / $59.10 / $59.10	Facility	80	$59.10	$59.10	$59.10
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $50.24 / $50.24 / $50.24	Facility	AS	$50.24	$50.24	$50.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $812.72 / $812.72 / $812.72	Facility		$812.72	$812.72	$812.72
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