Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,871.92 / $7,920.26	Facility		$2,747.00	$3,871.92	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.25 / $3,536.31 / $4,025.62	Professional		$2,511.25	$3,536.31	$4,025.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,127.23 / $3,220.23 / $4,806.64	Facility		$2,127.23	$3,220.23	$4,806.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,375.98 / $3,059.15 / $3,333.25	Facility		$2,375.98	$3,059.15	$3,333.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,127.23 / $3,545.03 / $4,573.54	Facility		$2,127.23	$3,545.03	$4,573.54
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $627.50 / $627.50 / $627.50	Facility	80	$627.50	$627.50	$627.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $533.37 / $533.37 / $533.37	Facility	AS	$533.37	$533.37	$533.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,799.93 / $8,799.93 / $8,799.93	Facility		$8,799.93	$8,799.93	$8,799.93
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