Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.23 / $2,747.00 / $7,920.26	Facility		$304.23	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.64 / $335.19 / $377.39	Professional		$237.64	$335.19	$377.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.20 / $348.08 / $479.88	Facility		$223.20	$348.08	$479.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $220.93 / $289.49 / $311.44	Facility		$220.93	$289.49	$311.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.20 / $370.18 / $479.88	Facility		$223.20	$370.18	$479.88
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $59.23 / $59.23 / $59.23	Facility	80	$59.23	$59.23	$59.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $50.34 / $50.34 / $50.34	Facility	AS	$50.34	$50.34	$50.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $810.98 / $810.98 / $810.98	Facility		$810.98	$810.98	$810.98
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