Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,809.21 / $7,995.58 / $49,884.23	Facility		$4,809.21	$7,995.58	$49,884.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,479.64 / $4,930.46 / $5,612.67	Professional		$3,479.64	$4,930.46	$5,612.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,939.95 / $4,379.38 / $6,387.57	Facility		$2,939.95	$4,379.38	$6,387.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,190.43 / $4,238.84 / $4,472.92	Facility		$3,190.43	$4,238.84	$4,472.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,939.95 / $4,875.31 / $6,320.89	Facility		$2,939.95	$4,875.31	$6,320.89
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $855.80 / $855.80 / $855.80	Facility	80	$855.80	$855.80	$855.80
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $727.43 / $727.43 / $727.43	Facility	AS	$727.43	$727.43	$727.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,720.77 / $11,720.77 / $11,720.77	Facility		$11,720.77	$11,720.77	$11,720.77
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