Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,661.52 / $5,445.92 / $7,920.26	Facility		$4,661.52	$5,445.92	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,294.72 / $6,086.01 / $6,928.12	Professional		$4,294.72	$6,086.01	$6,928.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,259.69 / $5,405.23 / $7,863.90	Facility		$3,259.69	$5,405.23	$7,863.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,934.14 / $5,231.77 / $5,518.79	Facility		$3,934.14	$5,231.77	$5,518.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,259.69 / $5,945.20 / $7,798.97	Facility		$3,259.69	$5,945.20	$7,798.97
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,055.98 / $1,055.98 / $1,055.98	Facility	80	$1,055.98	$1,055.98	$1,055.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $897.58 / $897.58 / $897.58	Facility	AS	$897.58	$897.58	$897.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,450.00 / $14,450.00 / $14,450.00	Facility		$14,450.00	$14,450.00	$14,450.00
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