Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,142.14 / $7,920.26	Facility		$2,747.00	$4,142.14	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,692.84 / $3,786.45 / $4,310.38	Professional		$2,692.84	$3,786.45	$4,310.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,281.78 / $3,558.44 / $5,126.89	Facility		$2,281.78	$3,558.44	$5,126.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,545.08 / $3,280.37 / $3,564.40	Facility		$2,545.08	$3,280.37	$3,564.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,281.78 / $3,802.59 / $4,905.83	Facility		$2,281.78	$3,802.59	$4,905.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $673.36 / $673.36 / $673.36	Facility	80	$673.36	$673.36	$673.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,420.99 / $9,420.99 / $9,420.99	Facility		$9,420.99	$9,420.99	$9,420.99
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