Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,005.70 / $7,920.26	Facility		$2,747.00	$5,005.70	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,258.51 / $4,619.14 / $5,258.30	Professional		$3,258.51	$4,619.14	$5,258.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,751.13 / $4,101.07 / $5,951.61	Facility		$2,751.13	$4,101.07	$5,951.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,985.97 / $3,969.46 / $4,217.35	Facility		$2,985.97	$3,969.46	$4,217.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,751.13 / $4,548.17 / $5,914.93	Facility		$2,751.13	$4,548.17	$5,914.93
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $800.82 / $800.82 / $800.82	Facility	80	$800.82	$800.82	$800.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $680.69 / $680.69 / $680.69	Facility	AS	$680.69	$680.69	$680.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,966.63 / $10,966.63 / $10,966.63	Facility		$10,966.63	$10,966.63	$10,966.63
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