Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,362.05 / $7,920.26	Facility		$2,747.00	$3,362.05	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,182.84 / $3,076.94 / $3,502.69	Professional		$2,182.84	$3,076.94	$3,502.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,840.51 / $2,773.11 / $4,139.28	Facility		$1,840.51	$2,773.11	$4,139.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,058.64 / $2,659.10 / $2,868.92	Facility		$2,058.64	$2,659.10	$2,868.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,840.51 / $3,067.21 / $3,957.10	Facility		$1,840.51	$3,067.21	$3,957.10
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $542.05 / $542.05 / $542.05	Facility	80	$542.05	$542.05	$542.05
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $460.75 / $460.75 / $460.75	Facility	AS	$460.75	$460.75	$460.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,619.86 / $7,619.86 / $7,619.86	Facility		$7,619.86	$7,619.86	$7,619.86
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