Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,038.13 / $7,920.26	Facility		$2,747.00	$4,038.13	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,619.15 / $3,690.11 / $4,200.70	Professional		$2,619.15	$3,690.11	$4,200.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,208.76 / $3,344.43 / $5,019.53	Facility		$2,208.76	$3,344.43	$5,019.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,476.28 / $3,190.60 / $3,446.92	Facility		$2,476.28	$3,190.60	$3,446.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,208.76 / $3,680.90 / $4,748.83	Facility		$2,208.76	$3,680.90	$4,748.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $651.27 / $651.27 / $651.27	Facility	80	$651.27	$651.27	$651.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,174.32 / $9,174.32 / $9,174.32	Facility		$9,174.32	$9,174.32	$9,174.32
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