Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,541.42 / $7,920.26	Facility		$2,747.00	$4,541.42	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,948.86 / $4,157.43 / $4,732.68	Professional		$2,948.86	$4,157.43	$4,732.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,499.52 / $3,905.97 / $5,450.86	Facility		$2,499.52	$3,905.97	$5,450.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,755.35 / $3,592.24 / $4,000.20	Facility		$2,755.35	$3,592.24	$4,000.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,499.52 / $4,609.82 / $5,373.97	Facility		$2,499.52	$4,609.82	$5,373.97
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $731.18 / $731.18 / $731.18	Facility	80	$731.18	$731.18	$731.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $621.50 / $621.50 / $621.50	Facility	AS	$621.50	$621.50	$621.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,123.73 / $10,123.73 / $10,123.73	Facility		$10,123.73	$10,123.73	$10,123.73
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