Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,559.30 / $7,920.26	Facility		$2,747.00	$4,559.30	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,966.90 / $4,206.09 / $4,788.08	Professional		$2,966.90	$4,206.09	$4,788.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,506.63 / $3,734.06 / $5,416.61	Facility		$2,506.63	$3,734.06	$5,416.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,716.59 / $3,614.24 / $3,810.96	Facility		$2,716.59	$3,614.24	$3,810.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,506.63 / $4,152.58 / $5,389.25	Facility		$2,506.63	$4,152.58	$5,389.25
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $729.51 / $729.51 / $729.51	Facility	80	$729.51	$729.51	$729.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $620.08 / $620.08 / $620.08	Facility	AS	$620.08	$620.08	$620.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,978.21 / $9,978.21 / $9,978.21	Facility		$9,978.21	$9,978.21	$9,978.21
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