Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,699.65 / $3,250.15 / $7,920.26	Facility		$2,699.65	$3,250.15	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,110.87 / $2,976.21 / $3,388.03	Professional		$2,110.87	$2,976.21	$3,388.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,789.23 / $2,684.10 / $4,027.29	Facility		$1,789.23	$2,684.10	$4,027.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,990.81 / $2,571.42 / $2,784.60	Facility		$1,990.81	$2,571.42	$2,784.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,789.23 / $2,981.75 / $3,846.84	Facility		$1,789.23	$2,981.75	$3,846.84
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $526.13 / $526.13 / $526.13	Facility	80	$526.13	$526.13	$526.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $447.21 / $447.21 / $447.21	Facility	AS	$447.21	$447.21	$447.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,373.19 / $7,373.19 / $7,373.19	Facility		$7,373.19	$7,373.19	$7,373.19
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