Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,389.80 / $7,920.26	Facility		$2,747.00	$4,389.80	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,844.09 / $4,005.86 / $4,560.14	Professional		$2,844.09	$4,005.86	$4,560.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,395.39 / $3,634.92 / $5,411.06	Facility		$2,395.39	$3,634.92	$5,411.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,676.38 / $3,464.61 / $3,738.64	Facility		$2,676.38	$3,464.61	$3,738.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,395.39 / $3,991.92 / $5,150.09	Facility		$2,395.39	$3,991.92	$5,150.09
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $706.38 / $706.38 / $706.38	Facility	80	$706.38	$706.38	$706.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,932.08 / $9,932.08 / $9,932.08	Facility		$9,932.08	$9,932.08	$9,932.08
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