Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,186.89 / $7,920.26 / $13,940.69	Facility		$3,186.89	$7,920.26	$13,940.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,512.91 / $3,562.27 / $4,055.17	Professional		$2,512.91	$3,562.27	$4,055.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,001.16 / $3,162.68 / $4,580.79	Facility		$2,001.16	$3,162.68	$4,580.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,307.32 / $3,061.18 / $3,236.10	Facility		$2,307.32	$3,061.18	$3,236.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,001.16 / $3,463.63 / $4,566.04	Facility		$2,001.16	$3,463.63	$4,566.04
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $617.48 / $617.48 / $617.48	Facility	80	$617.48	$617.48	$617.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $524.85 / $524.85 / $524.85	Facility	AS	$524.85	$524.85	$524.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,523.08 / $8,523.08 / $8,523.08	Facility		$8,523.08	$8,523.08	$8,523.08
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