Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,829.55 / $2,747.00 / $7,920.26	Facility		$1,829.55	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,442.33 / $2,037.14 / $2,319.02	Professional		$1,442.33	$2,037.14	$2,319.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,213.99 / $1,884.39 / $2,743.48	Facility		$1,213.99	$1,884.39	$2,743.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,311.32 / $1,757.01 / $1,897.44	Facility		$1,311.32	$1,757.01	$1,897.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,213.99 / $2,023.11 / $2,743.48	Facility		$1,213.99	$2,023.11	$2,743.48
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $357.69 / $357.69 / $357.69	Facility	80	$357.69	$357.69	$357.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $304.02 / $304.02 / $304.02	Facility	AS	$304.02	$304.02	$304.02
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
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