Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.36 / $10,347.48 / $20,400.00	Facility		$1,758.36	$10,347.48	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,265.04 / $1,789.99 / $2,037.67	Professional		$1,265.04	$1,789.99	$2,037.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.33 / $1,646.34 / $2,376.94	Facility		$1,071.33	$1,646.34	$2,376.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,063.00 / $1,541.03 / $1,649.68	Facility		$1,063.00	$1,541.03	$1,649.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.33 / $1,785.39 / $2,376.94	Facility		$1,071.33	$1,785.39	$2,376.94
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $314.26 / $314.26 / $314.26	Facility	80	$314.26	$314.26	$314.26
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $267.12 / $267.12 / $267.12	Facility	AS	$267.12	$267.12	$267.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00