Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,553.88 / $3,087.23 / $7,920.26	Facility		$2,553.88	$3,087.23	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,004.22 / $2,824.81 / $3,215.67	Professional		$2,004.22	$2,824.81	$3,215.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,691.39 / $2,637.72 / $3,826.43	Facility		$1,691.39	$2,637.72	$3,826.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,887.61 / $2,441.50 / $2,641.80	Facility		$1,887.61	$2,441.50	$2,641.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,691.39 / $2,818.70 / $3,636.49	Facility		$1,691.39	$2,818.70	$3,636.49
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $499.15 / $499.15 / $499.15	Facility	80	$499.15	$499.15	$499.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $424.27 / $424.27 / $424.27	Facility	AS	$424.27	$424.27	$424.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,002.32 / $7,002.32 / $7,002.32	Facility		$7,002.32	$7,002.32	$7,002.32
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