Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,772.71 / $7,920.26	Facility		$2,747.00	$4,772.71	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,105.57 / $4,403.09 / $5,012.33	Professional		$3,105.57	$4,403.09	$5,012.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,620.71 / $3,908.58 / $5,692.44	Facility		$2,620.71	$3,908.58	$5,692.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,809.80 / $3,783.14 / $4,015.40	Facility		$2,809.80	$3,783.14	$4,015.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,620.71 / $4,301.14 / $5,634.55	Facility		$2,620.71	$4,301.14	$5,634.55
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $762.53 / $762.53 / $762.53	Facility	80	$762.53	$762.53	$762.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $648.15 / $648.15 / $648.15	Facility	AS	$648.15	$648.15	$648.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,496.34 / $10,496.34 / $10,496.34	Facility		$10,496.34	$10,496.34	$10,496.34
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