Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,974.53 / $2,747.00 / $7,920.26	Facility		$1,974.53	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $2,185.62 / $2,488.04	Professional		$1,549.20	$2,185.62	$2,488.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $984.92 / $1,949.78 / $2,960.99	Facility		$984.92	$1,949.78	$2,960.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,298.59 / $1,887.21 / $2,044.84	Facility		$1,298.59	$1,887.21	$2,044.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $984.92 / $2,181.71 / $2,814.69	Facility		$984.92	$2,181.71	$2,814.69
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $385.44 / $385.44 / $385.44	Facility	80	$385.44	$385.44	$385.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $327.62 / $327.62 / $327.62	Facility	AS	$327.62	$327.62	$327.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $19,432.23 / $26,344.61 / $30,857.90	Facility	50	$19,432.23	$26,344.61	$30,857.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00