Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,640.59 / $7,920.26 / $58,087.02	Facility		$3,640.59	$7,920.26	$58,087.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,874.15 / $4,075.64 / $4,639.58	Professional		$2,874.15	$4,075.64	$4,639.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,426.42 / $3,637.68 / $5,238.89	Facility		$2,426.42	$3,637.68	$5,238.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,626.96 / $3,501.24 / $3,691.03	Facility		$2,626.96	$3,501.24	$3,691.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,426.42 / $4,018.07 / $5,216.80	Facility		$2,426.42	$4,018.07	$5,216.80
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $705.87 / $705.87 / $705.87	Facility	80	$705.87	$705.87	$705.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $599.99 / $599.99 / $599.99	Facility	AS	$599.99	$599.99	$599.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,649.92 / $9,649.92 / $9,649.92	Facility		$9,649.92	$9,649.92	$9,649.92
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