Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,584.05 / $7,920.26	Facility		$2,747.00	$3,584.05	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,324.50 / $3,276.79 / $3,730.20	Professional		$2,324.50	$3,276.79	$3,730.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,966.82 / $3,067.26 / $4,368.83	Facility		$1,966.82	$3,067.26	$4,368.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,185.10 / $2,831.66 / $3,050.51	Facility		$2,185.10	$2,831.66	$3,050.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,966.82 / $3,277.71 / $4,368.83	Facility		$1,966.82	$3,277.71	$4,368.83
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,256.42 / $2,256.42 / $2,256.42	Facility	62	$2,256.42	$2,256.42	$2,256.42
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $577.65 / $577.65 / $577.65	Facility	80	$577.65	$577.65	$577.65
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $491.00 / $491.00 / $491.00	Facility	AS	$491.00	$491.00	$491.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,070.58 / $8,070.58 / $8,070.58	Facility		$8,070.58	$8,070.58	$8,070.58
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